Individual provider Active NPI

Michael Charles Shoff, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bellingham, WA
National Provider Identifier
1265787386
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE 60289983 Issued in WA
Practice address
3628 Meridian St
Suite 2B
Bellingham, WA 98225-1735
Phone
(360) 676-1401
Fax
(360) 676-4097
NPI assigned
Jul 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE 60289983 WA Primary

Addresses

Primary practice location

3628 Meridian St
Suite 2B
Bellingham, WA 98225-1735

Mailing address

3628 Meridian St
Suite 2B
Bellingham, WA 98225-1735
Phone (360) 676-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DE 60289983WAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas G. White, D.D.S.,M.S. Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Michael Shoff P.L.L.C. Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 2

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": "1342224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1265787386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 MERIDIAN ST",
            "address_2": "SUITE 2B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251735",
            "telephone_number": "360-676-1401",
            "fax_number": "360-676-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 MERIDIAN ST",
            "address_2": "SUITE 2B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251735",
            "telephone_number": "360-676-1401",
            "fax_number": "360-676-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOFF",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-14",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE 60289983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.