Individual provider Active NPI

John V Machi, D.D.S

  • General Practice Dentistry
  • Sioux Falls, SD
National Provider Identifier
1437502184
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1333 Issued in SD
Practice address
2400 W 41St St
Sioux Falls, SD 57105-6119
Phone
(605) 865-2117
NPI assigned
Jul 18, 2016
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1001391 WI
General Practice Dentistry 1223G0001X D1333 SD Primary

Addresses

Primary practice location

2400 W 41St St
Sioux Falls, SD 57105-6119

Mailing address

12217 W North Ave
Wauwatosa, WI 53226-2056
Phone (414) 771-4580

Other practice location 1

12217 W North Ave
Wauwatosa, WI 53226-2056
Phone (414) 771-4580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20190318002545 WI Order and Referring Only - DentistPractitioner - Dentist 1850631441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D1333SDMDGeneral Practice Dentistry
1001391WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1437502184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12217 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262056",
            "telephone_number": "414-771-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W 41ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056119",
            "telephone_number": "605-865-2117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12217 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532262056",
            "country_code": "US",
            "telephone_number": "414-771-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHI",
        "first_name": "JOHN",
        "middle_name": "V",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001391",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D1333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.