Individual provider Active NPI

Nicolette Anne Bassett, DDS

  • Dentist
  • Traverse City, MI
National Provider Identifier
1073127254
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600649 Issued in MI
Practice address
10850 E Traverse Hwy Ste 2250
Traverse City, MI 49684-1319
Phone
(231) 946-9644
NPI assigned
Sep 3, 2020
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600649 MI Primary

Addresses

Primary practice location

10850 E Traverse Hwy Ste 2250
Traverse City, MI 49684-1319

Mailing address

PO Box 881
Suttons Bay, MI 49682-0881
Phone (231) 620-8506

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
I20210406001109 MI Order and Referring Only - DentistPractitioner - Dentist 3577970748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael C Hutchison PLLC CurrentSince Sep 6, 2020 Accepting new patients

Locations

10850 E Traverse Hwy
Ste 2250
Traverse City, MI 49684
Phone (231) 946-9644

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1073127254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 881",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496820881",
            "telephone_number": "231-620-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 E TRAVERSE HWY STE 2250",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496841319",
            "telephone_number": "231-946-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "NICOLETTE",
        "middle_name": "ANNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.