Michael Rodney Everett, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS027277-L Issued in PA

Practice address

3120 Fireline Rd
Palmerton, PA 18071-5722

Phone

(610) 826-2001

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By 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 PA

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

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144331984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 FIRELINE RD",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180715722",
            "telephone_number": "610-826-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 FIRELINE RD",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180715722",
            "telephone_number": "610-826-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "MICHAEL",
        "middle_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027277-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Connelly
• Amy Pauline Conover-Buchman
• Alexandros Dimitriadis, PA-C
• Richard J Dobias, DC
• Eastern Audiologic Rehabilitation
• Tucker John Everett
• Victoria Fedor, M.A.
• Amy Elizabeth Forte, MPT
• Bonnie Louise Fritz, LPN
• Garry M Carbone MD PC

• General Practice Dentistry in Palmerton, PA
• Providers in Palmerton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.