Organization Active NPI

Mibraces LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Saline, MI
National Provider Identifier
1962013128
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MIBRACES LLC
Practice address
214 W Michigan Ave
Saline, MI 48176-1327
Phone
(734) 470-4068
NPI assigned
Aug 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Mr. Matt Schuster
Title
President
Phone
(248) 790-5650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

214 W Michigan Ave
Saline, MI 48176-1327

Mailing address

5766 Geddes Rd
Ann Arbor, MI 48105-9331

Other names 1

  • Michigan Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

214 W Michigan Ave
Saline, MI 48176
Phone (734) 429-5433

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1962013128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5766 GEDDES RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761327",
            "telephone_number": "734-470-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIBRACES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "SCHUSTER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-790-5650",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saline, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.