Individual provider Active NPI

David Earl Habecker, D.D.S.

  • General Practice Dentistry
  • Schoolcraft, MI
National Provider Identifier
1346292190
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
015325 Issued in MI
Practice address
529 N Grand St
Schoolcraft, MI 49087-9128
Phone
(269) 679-5584
Fax
(269) 679-5028
NPI assigned
May 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 015325 MI Primary

Addresses

Primary practice location

529 N Grand St
Schoolcraft, MI 49087-9128

Mailing address

529 N Grand St
P. O. Box 716
Schoolcraft, MI 49087-0716
Phone (269) 679-5584

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
I20170417000061 MI Order and Referring Only - DentistPractitioner - Dentist 3072834886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015325MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David E. Habecker DDS Past Accepting new patients
Alex Keefer PLLC PastSince May 14, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346292190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 N GRAND ST",
            "address_2": "P. O. BOX 716",
            "city": "SCHOOLCRAFT",
            "state": "MI",
            "postal_code": "490870716",
            "telephone_number": "269-679-5584",
            "fax_number": "269-679-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 N GRAND ST",
            "city": "SCHOOLCRAFT",
            "state": "MI",
            "postal_code": "490879128",
            "telephone_number": "269-679-5584",
            "fax_number": "269-679-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABECKER",
        "first_name": "DAVID",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "015325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schoolcraft, MI

Sources for this page

Verify at the official NPI Registry.