Individual provider Active NPI

Michael E Tamm, DMD

  • Dentist
  • Battle Creek, MI
National Provider Identifier
1023282258
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019757 Issued in MI
Practice address
882 Capital Ave SW
Battle Creek, MI 49015-3584
Phone
(269) 963-8256
Fax
(269) 963-8051
NPI assigned
Apr 18, 2008
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901019757 MI Primary

Addresses

Primary practice location

882 Capital Ave SW
Battle Creek, MI 49015-3584

Mailing address

882 Capital Ave SW
Battle Creek, MI 49015-3584
Phone (269) 963-8256

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
I20160201000458 MI Order and Referring Only - DentistPractitioner - Dentist 4587968284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901019757MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rand E. McKinley DDS PC Dentist CurrentSince Jul 28, 2024 Accepting new patients
Michael E. Tamm DMD PLLC Dentist CurrentSince Nov 10, 2024 Accepting new patients

Locations

882 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 963-8256

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1023282258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153584",
            "telephone_number": "269-963-8256",
            "fax_number": "269-963-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153584",
            "telephone_number": "269-963-8256",
            "fax_number": "269-963-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMM",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.