Michael David Hummitzsch, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5769 Issued in AZ

Practice address

5432 E Southern Ave Ste 108
Mesa, AZ 85206-2772

Phone

(480) 807-8100

Fax

(480) 325-8014

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Michael D Hummitzsch DDS PC

  dba Avondale Dental

  • General Practice Dentistry
  • Avondale, AZ
  • NPI 1215320551
  NPD (past) Authorized official
• Todd S. Garrett DDS PC

  dba Garrett Family Dental Care

  • General Practice Dentistry
  • Surprise, AZ
  • NPI 1396959557
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1366598864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10665W INDIAN SCHOOL RD J",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925643",
            "telephone_number": "623-772-5362",
            "fax_number": "623-772-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432 E SOUTHERN AVE STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062772",
            "telephone_number": "480-807-8100",
            "fax_number": "480-325-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMITZSCH",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Maren Hulse
• Samuel Hulsey, PHARMD
• Humanity Select Home Care LLC
• Caroline G. Humberston, PT
• Humble Helpings LLC
• Kayla Humphrey
• Teliyah L Humphrey
• Cole C Humphries, DPT
• Brent Hunsaker, DO
• Brittney Hunsaker

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.