Individual provider Active NPI

Stephen Thomas McInerney, D.D.S., M.S.

  • Endodontics
  • Bingham Farms, MI
National Provider Identifier
1184724361
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2901016006 Issued in MI
Practice address
31100 Telegraph Rd Ste 120
Bingham Farms, MI 48025-4364
Phone
(248) 540-9191
Fax
(248) 540-9194
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2901016006 MI Primary

Addresses

Primary practice location

31100 Telegraph Rd Ste 120
Bingham Farms, MI 48025-4364

Mailing address

31100 Telegraph Rd Ste 120
Bingham Farms, MI 48025-4364
Phone (248) 540-9191

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
I20161216000296 MI Order and Referring Only - DentistPractitioner - Dentist 7810954104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901016006MIMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Root Canal Specialists, P.C. Endodontics Past Accepting new patients

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1184724361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31100 TELEGRAPH RD STE 120",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254364",
            "telephone_number": "248-540-9191",
            "fax_number": "248-540-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31100 TELEGRAPH RD STE 120",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254364",
            "telephone_number": "248-540-9191",
            "fax_number": "248-540-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINERNEY",
        "first_name": "STEPHEN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901016006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.