Individual provider Active NPI

Michael Thomas Aloe, D.M.D.

  • Endodontics
  • Dover, DE
National Provider Identifier
1154536464
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
G1-0001053 Issued in DE
Practice address
850 S State St
Dover, DE 19901-4113
Phone
(302) 736-6631
Fax
(302) 736-6645
NPI assigned
May 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Endodontics 1223E0200X G1-0001053 DE Primary

Addresses

Primary practice location

850 S State St
Dover, DE 19901-4113

Mailing address

850 S State St
Dover, DE 19901-4113
Phone (302) 736-6631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20180518000585 DE Order and Referring Only - DentistPractitioner - Dentist 9335404516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-0001053DEMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154536464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014113",
            "telephone_number": "302-736-6631",
            "fax_number": "302-736-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014113",
            "telephone_number": "302-736-6631",
            "fax_number": "302-736-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALOE",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "DE",
            "license": "G1-0001053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.