Individual provider Active NPI

Heather Pranzarone Stratton, D.D.S.

  • General Practice Dentistry
  • Shelby Township, MI
National Provider Identifier
1124113634
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018374 Issued in MI
Practice address
4741 24 Mile Rd
Shelby Township, MI 48316-3111
Phone
(248) 652-0024
NPI assigned
Oct 3, 2006
Sex
Female
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
General Practice Dentistry 1223G0001X 2901018374 MI Primary

Addresses

Primary practice location

4741 24 Mile Rd
Shelby Township, MI 48316-3111

Mailing address

52027 Emil Drive
Macomb, MI 48042
Phone (586) 992-1085

Other names 1

  • Dr. Heather Ann Pranzarone Former name

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
I20151001002614 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9133437684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HPS Advanced Dental Care, PC Current 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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124113634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52027 EMIL DRIVE",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48042",
            "telephone_number": "586-992-1085",
            "fax_number": "586-992-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 24 MILE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163111",
            "telephone_number": "248-652-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "HEATHER",
        "middle_name": "PRANZARONE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "PRANZARONE",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.