Individual provider Active NPI

James Atkinson Everett, DDS

  • General Practice Dentistry
  • Grosse Pointe, MI
National Provider Identifier
1437345717
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13445 Issued in MI
Practice address
18100 Mack Ave
Grosse Pointe, MI 48230-6252
Phone
(313) 884-6680
NPI assigned
Sep 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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 13445 MI Primary

Addresses

Primary practice location

18100 Mack Ave
Grosse Pointe, MI 48230-6252

Mailing address

18100 Mack Ave
Grosse Pointe, MI 48230-6252
Phone (313) 884-6680

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
I20161104001315 MI Order and Referring Only - DentistPractitioner - Dentist 2264710680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13445MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James a Everett DDS PC General Practice Past Accepting new patients
Healthy Pointe Dental PC PastSince Sep 25, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1437345717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306252",
            "telephone_number": "313-884-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306252",
            "telephone_number": "313-884-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "JAMES",
        "middle_name": "ATKINSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

Verify at the official NPI Registry.