Individual provider Active NPI

Daniel Hammaker

  • Dentist
  • Novi, MI
National Provider Identifier
1003228966
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021219 Issued in MI
Practice address
40255 Grand River Ave Ste 200
Novi, MI 48375-2149
Phone
(248) 442-0400
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021219 MI Primary

Addresses

Primary practice location

40255 Grand River Ave Ste 200
Novi, MI 48375-2149

Mailing address

40255 Grand River Ave Ste 200
Novi, MI 48375-2149
Phone (248) 442-0400

Other practice location 1

31700 Telegraph Rd
Suite 100
Bingham Farms, MI 48025-3407
Phone (248) 433-6000

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
I20161201002042 MI Order and Referring Only - DentistPractitioner - Dentist 1456631720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021219MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter T Cracchiolo Jr DDS PC Dentist Past Accepting new patients
Herbert J. Elfring Jr., D.D.S., P.C. Dentist PastSince May 31, 2020 Accepting new patients
Novi Dentists PLLC PastSince May 31, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590364800000",
    "number": "1003228966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40255 GRAND RIVER AVE STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752149",
            "telephone_number": "248-442-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40255 GRAND RIVER AVE STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752149",
            "telephone_number": "248-442-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31700 Telegraph Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480253407",
            "country_code": "US",
            "telephone_number": "248-433-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMAKER",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.