Individual provider Active NPI

Tamar Marie Shrikian, DMD

  • Dentist
  • Grant, MI
National Provider Identifier
1952783417
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021604 Issued in MI
Practice address
11 N Maple St
Grant, MI 49327-7900
Phone
(231) 834-9750
Fax
(231) 834-1459
NPI assigned
Jun 22, 2015
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021604 MI Primary

Addresses

Primary practice location

11 N Maple St
Grant, MI 49327-7900

Mailing address

234 Griswold St SE
Grand Rapids, MI 49507-3174
Phone (248) 320-4614

Other practice location 1

4700 Kalamazoo Ave SE Ste 200
Kentwood, MI 49508-4628
Phone (616) 281-7464

Other practice location 2

1500 E. Medical Center Drive
G1200 Towsley Center, SPC 5222
Ann Arbor, MI 48105-5222
Phone (734) 232-6048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20150908001904 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8729394648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021604MIMDDentist

Interoperability endpoints

  • Direct secure messaging: tamar.shrikian.p1@direct.bfhc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1952783417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 GRISWOLD ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073174",
            "telephone_number": "248-320-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAPLE ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493277900",
            "telephone_number": "231-834-9750",
            "fax_number": "231-834-1459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Kalamazoo Ave SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kentwood",
            "state": "MI",
            "postal_code": "495084628",
            "country_code": "US",
            "telephone_number": "616-281-7464",
            "fax_number": "616-281-7461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E. Medical Center Drive",
            "address_2": "G1200 Towsley Center, SPC 5222",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481055222",
            "country_code": "US",
            "telephone_number": "734-232-6048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRIKIAN",
        "first_name": "TAMAR",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grant, MI

Sources for this page

Verify at the official NPI Registry.