Active NPI
Michael Lawrence Bleeker, D.M.D.
- Prosthodontics
- Scottsdale, AZ
National Provider Identifier
1295846541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 6046
- Practice address
- 9377 E Bell Rd Ste 379
Scottsdale, AZ 85260-1505 - Phone
- (480) 306-8510
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 6046 | AZ | Primary |
Addresses
Primary practice location
9377 E Bell Rd Ste 379
Scottsdale, AZ 85260-1505
Mailing address
9377 E Bell Rd Ste 379
Scottsdale, AZ 85260-1505
Phone (480) 306-8510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 24, 2012 through Oct 24, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6046 | AZ | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1295846541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9377 E BELL RD STE 379",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601505",
"telephone_number": "480-306-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9377 E BELL RD STE 379",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601505",
"telephone_number": "480-306-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEEKER",
"first_name": "MICHAEL",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "AZ",
"license": "6046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.