Active NPI
Michael William Ammons, D.M.D.
- Dentist
- Augusta, GA
National Provider Identifier
1356630511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6938
- Practice address
- 1 Freedom Way
Dental Clinic, 233U
Augusta, GA 30904-6258 - Phone
- (843) 276-0564
- Fax
- (706) 481-6721
- NPI assigned
- Mar 28, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6938 | SC | Primary |
Addresses
Primary practice location
1 Freedom Way
Dental Clinic, 233U
Augusta, GA 30904-6258
Mailing address
1 Freedom Way
Dental Clinic, 233U
Augusta, GA 30904-6258
Phone (843) 276-0564
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ammons Dental by Design
- Dentist
- Summerville, SC
- NPI 1255739934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1356630511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FREEDOM WAY",
"address_2": "DENTAL CLINIC, 233U",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046258",
"telephone_number": "843-276-0564",
"fax_number": "706-481-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FREEDOM WAY",
"address_2": "DENTAL CLINIC, 233U",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046258",
"telephone_number": "843-276-0564",
"fax_number": "706-481-6721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMMONS",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-28",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "6938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.