Organization Active NPI

David E. Habecker DDS

  • Dental Clinic/Center
  • Schoolcraft, MI
National Provider Identifier
1245642800
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901021218 Issued in MI
Legal business name
DAVID E. HABECKER DDS
Practice address
529 N Grand St
Schoolcraft, MI 49087-9128
Phone
(269) 679-5584
Fax
(269) 679-5028
NPI assigned
May 29, 2014
Last updated
May 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Dr. David Earl Habecker, DDSNPI 1346292190
Title
Owner
Phone
(269) 679-5584

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 2901021218 MI Primary

Addresses

Primary practice location

529 N Grand St
Schoolcraft, MI 49087-9128

Mailing address

529 N Grand St
P.O. Box 716
Schoolcraft, MI 49087-9128
Phone (269) 679-5584

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1245642800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 N GRAND ST",
            "address_2": "P.O. BOX 716",
            "city": "SCHOOLCRAFT",
            "state": "MI",
            "postal_code": "490879128",
            "telephone_number": "269-679-5584",
            "fax_number": "269-679-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 N GRAND ST",
            "city": "SCHOOLCRAFT",
            "state": "MI",
            "postal_code": "490879128",
            "telephone_number": "269-679-5584",
            "fax_number": "269-679-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E. HABECKER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "HABECKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-679-5584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901021218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schoolcraft, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.