Michael Derrill Hablitzel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

OH15756 Issued in OH

Practice address

304 1/2 Madison St
Port Clinton, OH 43452-1921

Phone

(419) 734-2175

NPI assigned

Mar 25, 2008

Last updated

Mar 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mark a . & Michael D. Hablitzel, D.D.S., Inc.

  • General Practice Dentistry
  • Port Clinton, OH
  • NPI 1205939196
  Authorized official Same address or phone

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1194997627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 1/2 MADISON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521921",
            "telephone_number": "419-734-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 1/2 MADISON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521921",
            "telephone_number": "419-734-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABLITZEL",
        "first_name": "MICHAEL",
        "middle_name": "DERRILL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "OH15756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0712732",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• H.B. Magruder Memorial Hospital (The Pharmacy at Magruder Hospital)
• H.B. Magruder Memorial Hospital (Magruder Hospital)
• H.B. Magruder Memorial Hospital (Magruder Hospital)
• H.B. Magruder Memorial Hospital (Magruder Pharmacy at Bassetts)
• Mark A. Hablitzel, D.D.S.
• Hali Elizabeth Hagemeyer
• Patty L Hall, LSW
• Autumn Nicole Hamilton
• Harbor Light Health Care Corp
• John Harrison

• General Practice Dentistry in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.