Individual provider Active NPI

Alex Lahood, D.D.S.

  • General Practice Dentistry
  • Utica, MI
National Provider Identifier
1043694854
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901021652 Issued in MI
Practice address
45100 Sterritt St
Ste. 101
Utica, MI 48317-5843
Phone
(586) 739-1210
NPI assigned
Jul 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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 2901021652 MI Primary

Addresses

Primary practice location

45100 Sterritt St
Ste. 101
Utica, MI 48317-5843

Mailing address

45100 Sterritt St
Ste. 101
Utica, MI 48317-5843
Phone (586) 739-1210

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
I20200304001338 MI Practitioner - Dentist 6103106406 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021652MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Street Services, Inc. CurrentSince Jul 24, 2023 Accepting new patients
Intercare Community Health Network CurrentSince Jan 6, 2020 Accepting new patients
Intercare Community Health Network CurrentSince Jan 6, 2020 Accepting new patients
Cherry Street Services, Inc CurrentSince Jul 24, 2023 Accepting new patients
Forest Dental Associates PLLC General Practice Past Accepting new patients

Locations

50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937

800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400

550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272

285 James St
Holland, MI 49424
Phone (616) 399-0200

Organizations & group practices 5

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1043694854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45100 STERRITT ST",
            "address_2": "STE. 101",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175843",
            "telephone_number": "586-739-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45100 STERRITT ST",
            "address_2": "STE. 101",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175843",
            "telephone_number": "586-739-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHOOD",
        "first_name": "ALEX",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

Verify at the official NPI Registry.