Denis R Alix, M.D.
Individual provider Active NPI General Practice Physician · Ada, MI
NPI 1194013029 · NPPES record last updated Jul 12, 2011
Key facts
- NPI
- 1194013029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- L1669925 (MI)
- Practice address
- 7540 Conservation St NE
Ada, MI 49301-9522 - Phone
- (616) 676-8826
- NPI assigned
- Jul 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1669925 | MI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Rest Christian Mental Health Services | Past | Accepting new patients | |
| Advantage Health Physicians PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | L1669925 | MI | Yes |
Addresses
Primary practice location
7540 Conservation St NE
Ada, MI 49301-9522
Mailing address
7540 Conservation St NE
Ada, MI 49301-9522
Phone (616) 676-8826
Other providers in Ada, MI
- Ada Village Pharmacy
- Ada Vision Center PLLC
- David Lawrence Aitken
- Bonni Gemmell Akalis
- Feliza Achacoso Alcid
- May Alsayab
- Amru Albeiruti DDS PLC
- Angela Marie Anderson
- Sandra Linn Andrews
- Sarah J Ash
All providers in Ada, MI · General Practice Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.