Active NPI
Karin L Gifford, DMD
- General Practice Dentistry
- Mt Pleasant, MI
National Provider Identifier
1386843100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18005
- Practice address
- 1903 Evans St
Mt Pleasant, MI 48858-4459 - Phone
- (989) 772-3216
- Fax
- (989) 773-4776
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18005 | MI | Primary |
Addresses
Primary practice location
1903 Evans St
Mt Pleasant, MI 48858-4459
Mailing address
1903 Evans St
Mt Pleasant, MI 48858-4459
Phone (989) 772-3216
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150602000719 | MI | Order and Referring Only - Other (Non-Physician) | 3870814908 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18005 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1386843100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 EVANS ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488584459",
"telephone_number": "989-772-3216",
"fax_number": "989-773-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 EVANS ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488584459",
"telephone_number": "989-772-3216",
"fax_number": "989-773-4776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "KARIN",
"middle_name": "L",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "18005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.