Michael D Hummitzsch DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHAEL D HUMMITZSCH DDS PC

Doing business as

Avondale Dental

Practice address

10665 W Indian School Rd
Suite J
Avondale, AZ 85392-5642

Phone

(623) 772-5362

Fax

(623) 772-6036

NPI assigned

Mar 11, 2015

Last updated

Mar 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Hummitzsch, D.D.S.NPI 1366598864

Title

Owner

Phone

(623) 772-5362

Specialties & licenses 1

Addresses

Other names 1

• Avondale Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael David Hummitzsch, D.D.S

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1366598864
  NPD (past) Authorized official
• Wade Arthur Mendenhall, DDS

  • General Practice Dentistry
  • Avondale, AZ
  • NPI 1275543233
  NPD (past)

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1215320551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10665 W INDIAN SCHOOL RD",
            "address_2": "SUITE J",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925642",
            "telephone_number": "623-772-5362",
            "fax_number": "623-772-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10665 W INDIAN SCHOOL RD",
            "address_2": "SUITE J",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925642",
            "telephone_number": "623-772-5362",
            "fax_number": "623-772-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D HUMMITZSCH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "HUMMITZSCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-772-5362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avondale Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merciful Behavioral Health Services LLC
• Merryminds Behavioral Home LLC
• Meta Neurology and Sleep LLC
• Elizabeth Metzger, DNP, PMHNP
• MH4M Counseling and Education Center, PLLC
• Zacona Michaux, LAC
• Kennedy Reagann Milius
• Curtis D Miller, M.D.
• Jada Miller, ED.S.
• Jennifer Miller, LCSW

• General Practice Dentistry in Avondale, AZ
• Providers in Avondale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.