Individual provider Active NPI

Michael Joseph Hoffman, DDS

  • Dentist
  • Macomb, MI
National Provider Identifier
1245205103
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16142 Issued in MI
Practice address
15340 23 Mile Rd
Macomb, MI 48044-1000
Phone
(586) 247-8730
Fax
(586) 247-8734
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16142 MI Primary

Addresses

Primary practice location

15340 23 Mile Rd
Macomb, MI 48044-1000

Mailing address

15340 23 Mile Rd
Macomb, MI 48044-1000
Phone (586) 247-8730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150309001229 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1052637154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16142MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michaelj Hoffman DDS PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1245205103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15340 23 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441000",
            "telephone_number": "586-247-8730",
            "fax_number": "586-247-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15340 23 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441000",
            "telephone_number": "586-247-8730",
            "fax_number": "586-247-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "16142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.