Metodi C Pogoncheff, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901011340 Issued in MI

Practice address

2628 Lake Lansing Rd
Suite 101
Lansing, MI 48912-3668

Phone

(517) 482-5636

Fax

(517) 482-5637

NPI assigned

Mar 13, 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 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Metodi C Pogoncheff DDS PC

  • General Practice Dentistry
  • Lansing, MI
  • NPI 1912110396
  NPD (past) Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1457484941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 LAKE LANSING RD",
            "address_2": "STE 101",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123668",
            "telephone_number": "517-482-5636",
            "fax_number": "517-482-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 LAKE LANSING RD",
            "address_2": "SUITE 101",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123668",
            "telephone_number": "517-482-5636",
            "fax_number": "517-482-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGONCHEFF",
        "first_name": "METODI",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Podiatry Home Care PLLC
• Podiatry Plus PC
• Anna Marie Pogoncheff, DDS
• Carl M Pogoncheff, DDS
• John Metodi Pogoncheff, DDS
• David Jonathan Pohl, D.O.
• Jackie Sue Pohl, LPN
• Jacquelyn Pohl
• Lori Poirier, RN
• Herve Wafo Pola

• General Practice Dentistry in Lansing, MI
• Providers in Lansing, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.