Individual provider Active NPI

Annette Pargoff Defazio, DDS

  • General Practice Dentistry
  • Howell, MI
National Provider Identifier
1184822579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1825300 Issued in MI
Practice address
9500 E Highland Rd
Suite 7
Howell, MI 48843
Phone
(810) 632-2241
Fax
(810) 632-6455
NPI assigned
Jul 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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
General Practice Dentistry 1223G0001X 1825300 MI Primary

Addresses

Primary practice location

9500 E Highland Rd
Suite 7
Howell, MI 48843

Mailing address

9500 E Highland Rd
Suite 7
Howell, MI 48843
Phone (810) 632-2241

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
I20151120001538 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2062712144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1825300MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
All American Smiles Dental GRP General Practice Past Accepting new patients
Sunrise Family Dental Care Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184822579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 E HIGHLAND RD",
            "address_2": "SUITE 7",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "48843",
            "telephone_number": "810-632-2241",
            "fax_number": "810-632-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 E HIGHLAND RD",
            "address_2": "SUITE 7",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "48843",
            "telephone_number": "810-632-2241",
            "fax_number": "810-632-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARGOFF DEFAZIO",
        "first_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "1825300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.