Organization Active NPI

Michelakis and Associates PA

  • Dental Clinic/Center
  • Leland, NC
National Provider Identifier
1194349407
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MICHELAKIS AND ASSOCIATES PA
Doing business as
Michelakis Dentistry
Practice address
1132 New Pointe Blvd Ste 4
Leland, NC 28451-4257
Phone
(910) 408-1885
Fax
(910) 408-1886
NPI assigned
Jun 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Dr. Anthony John Michelakis, DDSNPI 1538221593
Title
President/Owner
Phone
(910) 408-1885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1132 New Pointe Blvd Ste 4
Leland, NC 28451-4257

Mailing address

1132 New Pointe Blvd Ste 4
Leland, NC 28451-4257
Phone (910) 408-1885

Other names 1

  • Michelakis Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1194349407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 NEW POINTE BLVD STE 4",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514257",
            "telephone_number": "910-408-1885",
            "fax_number": "910-408-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 NEW POINTE BLVD STE 4",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514257",
            "telephone_number": "910-408-1885",
            "fax_number": "910-408-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELAKIS AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "MICHELAKIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "910-408-1885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelakis Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.