Active NPI
Maerna Kersha, DMD
- Dentist
- Chesterfield, MI
National Provider Identifier
1912633793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019033912
- Practice address
- 27891 23 Mile Rd
Chesterfield, MI 48051-2328 - Phone
- (586) 840-8050
- NPI assigned
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019033912 | IL | Primary |
Addresses
Primary practice location
27891 23 Mile Rd
Chesterfield, MI 48051-2328
Mailing address
5847 Cochise Dr
West Bloomfield, MI 48322-1817
Phone (248) 410-1323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019033912 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1912633793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5847 COCHISE DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483221817",
"telephone_number": "248-410-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27891 23 MILE RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480512328",
"telephone_number": "586-840-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSHA",
"first_name": "MAERNA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019033912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.