Dennis Michaelson D.M.D., Ms

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

67D1497 Issued in ID

Legal business name

DENNIS MICHAELSON D.M.D., MS

Practice address

2271 Overland Ave Ste 4
Burley, ID 83318-2957

Phone

(208) 678-3265

Fax

(208) 678-5206

NPI assigned

Apr 8, 2008

Last updated

Apr 8, 2008By 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. Dennis J Michaelson, D.M.D., M.S.NPI 1609958479

Title

Owner

Phone

(208) 678-3265

Specialties & licenses 1

Addresses

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.

• Dennis J Michaelson, DMD MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Burley, ID
  • NPI 1609958479
  NPD (past) Authorized official
• Justin Ward, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Burley, ID
  • NPI 1316388473
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1265605596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 OVERLAND AVE STE 4",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182957",
            "telephone_number": "208-678-3265",
            "fax_number": "208-678-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 OVERLAND AVE STE 4",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182957",
            "telephone_number": "208-678-3265",
            "fax_number": "208-678-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS MICHAELSON D.M.D., MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "MICHAELSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-678-3265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "67D1497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Cranney, MS, LPC
• Ann Cueva, RNCFNP
• Daniel S Dallon, M.D.
• Natalie J Daniels, CNMW
• Taylor Davis
• Matthew David Detemple, D.O.
• Cami Dixon, RDN
• Mark A Dowdle, MD
• Dr. Brent S. Banner
• Charles Buchanan Drew, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Burley, ID
• Providers in Burley, ID by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.