Individual provider Active NPI

Michael Lee Husbands, D.D.S

  • Dentist
  • Henderson, NV
National Provider Identifier
1063620524
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4155 Issued in NV
Practice address
49 Voltaire Ave
Henderson, NV 89002-6553
Phone
(702) 296-0644
Fax
(702) 478-7143
NPI assigned
May 18, 2007
Last updated
Jun 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4155 NV Primary

Addresses

Primary practice location

49 Voltaire Ave
Henderson, NV 89002-6553

Mailing address

49 Voltaire Ave
Henderson, NV 89002-6553
Phone (702) 296-0644

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250611000843 TX Practitioner - Dentist 5991015067 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Phoenix Area Dentist CurrentSince Feb 20, 2025 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, 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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1063620524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 VOLTAIRE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890026553",
            "telephone_number": "702-296-0644",
            "fax_number": "702-478-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 VOLTAIRE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890026553",
            "telephone_number": "702-296-0644",
            "fax_number": "702-478-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSBANDS",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "4155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.