Individual provider Active NPI

Nancy Elizabeth Hartrick, D.D.S.

  • General Practice Dentistry
  • Royal Oak, MI
National Provider Identifier
1336396167
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12800 Issued in MI
Practice address
32609 Woodward Ave
Royal Oak, MI 48073-0952
Phone
(248) 549-0950
Fax
(248) 549-1180
NPI assigned
Aug 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12800 MI Primary

Addresses

Primary practice location

32609 Woodward Ave
Royal Oak, MI 48073-0952

Mailing address

32609 Woodward Ave
Royal Oak, MI 48073-0952
Phone (248) 549-0950

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
I20151218002045 MI Order and Referring Only - DentistPractitioner - Dentist 9830311562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12800MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hartrick Family Dentistry P C CurrentSince Jan 4, 1988 Accepting new patients

Locations

32609 Woodward Ave
Royal Oak, MI 48073
Phone (248) 227-0212

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": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1336396167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32609 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730952",
            "telephone_number": "248-549-0950",
            "fax_number": "248-549-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32609 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730952",
            "telephone_number": "248-549-0950",
            "fax_number": "248-549-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTRICK",
        "first_name": "NANCY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.