Active NPI
Michelle L Daill, MD
- Pediatrics Physician
- Dundee, MI
National Provider Identifier
1194785733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301089200
- Practice address
- 120 Waterstradt-Commerce Drive
Suite 1
Dundee, MI 48131 - Phone
- (734) 823-5437
- NPI assigned
- Mar 27, 2006
- Last updated
- Jul 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301089200 | MI | Primary |
| Pediatrics Physician | 208000000X | ME 89768 | FL |
Addresses
Primary practice location
120 Waterstradt-Commerce Drive
Suite 1
Dundee, MI 48131
Mailing address
120 Waterstradt-Commerce Drive
Suite 1
Dundee, MI 48131
Phone (734) 823-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43128 | Other | FL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 89768 | FL | MD | Pediatrics Physician |
| 4301089200 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dundee Pediatrics, PLLC | 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.
-
- Exclusive Provider Organization
- Dundee, MI
- NPI 1447689302
-
- Primary Care Clinic/Center
- Dundee, MI
- NPI 1508065905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1194785733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WATERSTRADT-COMMERCE DRIVE",
"address_2": "SUITE 1",
"city": "DUNDEE",
"state": "MI",
"postal_code": "48131",
"telephone_number": "734-823-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 WATERSTRADT-COMMERCE DRIVE",
"address_2": "SUITE 1",
"city": "DUNDEE",
"state": "MI",
"postal_code": "48131",
"telephone_number": "734-823-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAILL",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301089200",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 89768",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "43128",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dundee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.