Michael L Flewelling, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020888 Issued in MI

Practice address

24 N Saint Joseph Ave
Suite E-2
Niles, MI 49120-2263

Phone

(269) 683-4180

NPI assigned

Jul 5, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mike Flewelling DDS PLC

  • General Practice Dentistry
  • Niles, MI
  • NPI 1457772261
  NPD (past) Authorized official

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1164862181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 BROADWAY ST UNIT 580",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491207026",
            "telephone_number": "269-683-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N SAINT JOSEPH AVE",
            "address_2": "SUITE E-2",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202263",
            "telephone_number": "269-683-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEWELLING",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020888",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad S Ferrari, MD
• Michael James Fillmore, LLMSW
• Alena Flegel
• Sandra Fleming
• Astrid Fletcher, LLMSW
• Jason Ford, CRNA
• Marlene Ford, CRNA
• Valerie Christine Fordyce, LMT
• Jeremy Sean Forray-Molica, LMSW, CADC
• Paula L Fortune, MSPT

• General Practice Dentistry in Niles, MI
• Providers in Niles, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.