Individual provider Active NPI

Martin J Makowski, DDS

  • Pediatric Dentistry
  • Clinton Township, MI
National Provider Identifier
1295747087
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12656 Issued in MI
Practice address
39400 Garfield Rd
Suite 200
Clinton Township, MI 48038-4096
Phone
(586) 286-0700
Fax
(586) 286-5969
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 12656 MI Primary

Addresses

Primary practice location

39400 Garfield Rd
Suite 200
Clinton Township, MI 48038-4096

Mailing address

39400 Garfield Rd
Suite 200
Clinton Township, MI 48038-4096
Phone (586) 286-0700

Other identifiers 1

IdentifierTypeStateIssuer
1906643MedicaidMI

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
I20160427002047 MI Order and Referring Only - DentistPractitioner - Dentist 6608175518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12656MIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Delaney Plunkett Ralstrom Makowski Thanasas Pediatric Dentistry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mmakowsk@direct.dmc.org

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295747087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD",
            "address_2": "SUITE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-286-0700",
            "fax_number": "586-286-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD",
            "address_2": "SUITE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-286-0700",
            "fax_number": "586-286-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOWSKI",
        "first_name": "MARTIN",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "12656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1906643",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.