Michael Craig Faucette, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13080 Issued in TX

Practice address

204 S Cottonwood Dr
Suite a
Richardson, TX 75080-5739

Phone

(972) 231-2063

Fax

(972) 437-1742

NPI assigned

Nov 20, 2006

Last updated

Nov 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• M Dental 080,PLLC

  dba Fielder Park Dental

  • General Practice Dentistry
  • Arlington, TX
  • NPI 1124590674
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1063586022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S COTTONWOOD DR",
            "address_2": "SUITE A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805739",
            "telephone_number": "972-231-2063",
            "fax_number": "972-437-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S COTTONWOOD DR",
            "address_2": "SUITE A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805739",
            "telephone_number": "972-231-2063",
            "fax_number": "972-437-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUCETTE",
        "first_name": "MICHAEL",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Jeanette Faro, OT
• Junaid Y. Farooqui, DC
• Muhammad Sharjeel Farooqui
• Ashlee Farrar
• Elizabeth Marie Fata, PA-C
• Eloise Christine Faust, CNIM
• Daphne Louise Favroth, M.D.
• Oscar Faz, MOT
• Cori Feldman
• Leslie Felix

• General Practice Dentistry in Richardson, TX
• Providers in Richardson, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.