Maegan Elizabeth Daughtery, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901021773 Issued in MI

Practice address

16800 W 12 Mile Rd
Suite 101
Southfield, MI 48076-2108

Phone

(248) 423-9800

Fax

(248) 423-3486

NPI assigned

Apr 3, 2014

Last updated

Oct 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mdaughtery94627@direct.metrohealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Metrohealth System

  dba Metrohealth Medical Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  NPD
• Amy C Parker, D.D.S.,M.S

  • Pediatric Dentistry
  • Southfield, MI
  • NPI 1164674776
  NPD (past)

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1942628250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 W 12 MILE RD",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762108",
            "telephone_number": "248-423-9800",
            "fax_number": "248-423-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 W 12 MILE RD",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762108",
            "telephone_number": "248-423-9800",
            "fax_number": "248-423-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHTERY",
        "first_name": "MAEGAN",
        "middle_name": "ELIZABETH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901021773",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.024693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Das-Minta, LMT
• Renalda Dashi
• Ferras Dassouki, DC
• Daughter Status Foundation
• Daughters of Rahab Doula Helath and Wellness
• Sandra Dautey, M.D.
• Davenport Ferguson Physician Group PLLC
• David Criss MD PC
• David M Kirschner DDS PC
• David N Mittelman PHD LLC

• Pediatric Dentistry in Southfield, MI
• Providers in Southfield, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.