Stephen J Meraw, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901017594 Issued in MI

Practice address

11250 E 13 Mile Rd
Suite 4
Warren, MI 48093-2597

Phone

(586) 751-0070

Fax

(586) 751-8842

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Professional Periodontics

  • Dental Clinic/Center
  • Warren, MI
  • NPI 1699015339
  NPD (past) Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1992715478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 E 13 MILE RD",
            "address_2": "SUITE 4",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932597",
            "telephone_number": "586-751-0070",
            "fax_number": "586-751-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 E 13 MILE RD",
            "address_2": "SUITE 4",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932597",
            "telephone_number": "586-751-0070",
            "fax_number": "586-751-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERAW",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901017594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Morphosis Incorporated
• Ann Marie Mentz, MSN,APRN,BC
• Gayle Mentzer, RPH
• Frederick Gerald Meoli, DO
• Salim Meram, MD
• Linda June Merchberger, D.C.
• Mercy Medical Equipment, Inc
• Mercy Physical Therapy and Rehabilitation
• Mercy Therapy Inc.
• Jessica Virginia Meredith, DO

• Periodontics in Warren, MI
• Providers in Warren, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.