Individual provider Active NPI

David R. Rindfusz, DDS

  • Dentist
  • Cheboygan, MI
National Provider Identifier
1033204276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17226 Issued in MI
Practice address
10711 N Straits Hwy
Cheboygan, MI 49721-9077
Phone
(231) 627-9352
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17226 MI Primary

Addresses

Primary practice location

10711 N Straits Hwy
Cheboygan, MI 49721-9077

Mailing address

10711 N Straits Hwy
PO Box 5215
Cheboygan, MI 49721-9077
Phone (231) 627-9352

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
I20160908001991 MI Order and Referring Only - DentistPractitioner - Dentist 7911293451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17226MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Michigan Family Dentistry PLLC Dentist Past Accepting new patients

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033204276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10711 N STRAITS HWY",
            "address_2": "PO BOX 5215",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219077",
            "telephone_number": "231-627-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10711 N STRAITS HWY",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219077",
            "telephone_number": "231-627-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINDFUSZ",
        "first_name": "DAVID",
        "middle_name": "R.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "17226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

Verify at the official NPI Registry.