Individual provider Active NPI

Michael Vincent Mehling, D.D.S.

  • Dentist
  • Grand Rapids, MI
National Provider Identifier
1184618423
Registry record updated Feb 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018430 Issued in MI
Practice address
2700 5 Mile Rd NE Ste 201
Grand Rapids, MI 49525-6516
Phone
(616) 361-1727
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901018430 MI Primary

Addresses

Primary practice location

2700 5 Mile Rd NE Ste 201
Grand Rapids, MI 49525-6516

Mailing address

2700 5 Mile Rd NE Ste 201
Grand Rapids, MI 49525-6516
Phone (616) 361-1727

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
I20160108001213 MI Practitioner - Oral Surgery 3678875515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901018430MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Durham & Mehling DDS PC Dentist CurrentSince Dec 1, 2015 Accepting new patients

Locations

2700 5 Mile Rd NE
Ste 201
Grand Rapids, MI 49525
Phone (616) 361-1727

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1184618423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 5 MILE RD NE STE 201",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256516",
            "telephone_number": "616-361-1727",
            "fax_number": "616-361-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 5 MILE RD NE STE 201",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256516",
            "telephone_number": "616-361-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLING",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.