NPIMap

Organization Active NPI

Michigan Dental Group

  • Dental Clinic/Center
  • Port Huron, MI
National Provider Identifier
1134844871
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MICHIGAN DENTAL GROUP
Practice address
522 Michigan Street
Optional
Port Huron, MI 48060-3811
Phone
(810) 987-8711
NPI assigned
Oct 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Andrea Robbins Margeas
Title
Owner/Dentist
Phone
(810) 987-8711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

522 Michigan Street
Optional
Port Huron, MI 48060-3811

Mailing address

522 Michigan St.
Optional
Port Huron, MI 48060
Phone (810) 987-8711

Other names 1

  • Michigan Dental Group Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL brightsquid Health Information Exchange (HIE)
Other URL brightsquid Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

522 Michigan St
Port Huron, MI 48060
Phone (810) 987-8711

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1134844871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 MICHIGAN ST.",
            "address_2": "OPTIONAL",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-987-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 MICHIGAN STREET",
            "address_2": "OPTIONAL",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603811",
            "telephone_number": "810-987-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "MARGEAS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "ROBBINS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "810-987-8711"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "brightsquid",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "522 Michigan St.",
            "address_2": "Optional",
            "city": "Port Huron",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "brightsquid",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "522 Michigan St.",
            "address_2": "Optional",
            "city": "Port Huron",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Michigan Dental Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.