NPIMap

Organization Active NPI

Ann Arbor Family Dentistry, PC

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1871959445
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14578 Issued in MI
Legal business name
ANN ARBOR FAMILY DENTISTRY, PC
Practice address
2755 Carpenter Rd
Suite 1 NE
Ann Arbor, MI 48108-1186
Phone
(734) 971-2980
NPI assigned
Jan 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. In Lee, DDSNPI 1932394103
Title
President
Phone
(734) 971-2980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14578 MI Primary

Addresses

Primary practice location

2755 Carpenter Rd
Suite 1 NE
Ann Arbor, MI 48108-1186

Mailing address

2755 Carpenter Rd
Suite 1 NE
Ann Arbor, MI 48108-1186
Phone (734) 971-2980

National Provider Directory

National Provider Directory

Locations

2755 Carpenter Rd
Ste 1NE
Ann Arbor, MI 48108
Phone (734) 971-2980

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1871959445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 CARPENTER RD",
            "address_2": "SUITE 1 NE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081186",
            "telephone_number": "734-971-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 CARPENTER RD",
            "address_2": "SUITE 1 NE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081186",
            "telephone_number": "734-971-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ARBOR FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "IN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-971-2980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "14578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.