Individual provider Active NPI

James Richard Hanchett, DDS

  • General Practice Dentistry
  • Cheboygan, MI
National Provider Identifier
1013132364
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18609 Issued in MI
Practice address
11404 N Straits Hwy
Cheboygan, MI 49721
Phone
(231) 627-4301
Fax
(231) 627-9947
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18609 MI Primary

Addresses

Primary practice location

11404 N Straits Hwy
Cheboygan, MI 49721

Mailing address

11404 N Straits Hwy
Cheboygan, MI 49721
Phone (231) 627-4301

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
I20150501001103 MI Order and Referring Only - DentistPractitioner - Dentist 6800115452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18609MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James Hanchett,DDS PC CurrentSince Aug 28, 2022 Accepting new patients

Locations

11404 N Straits Hwy
Cheboygan, MI 49721
Phone (231) 627-4301

Organizations & group practices 1

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1013132364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11404 N STRAITS HWY",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "49721",
            "telephone_number": "231-627-4301",
            "fax_number": "231-627-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11404 N STRAITS HWY",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "49721",
            "telephone_number": "231-627-4301",
            "fax_number": "231-627-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCHETT",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "18609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

Verify at the official NPI Registry.