Individual provider Active NPI

Michael G Justice, DDS

  • Dentist
  • Asheville, NC
National Provider Identifier
1457554107
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4214 Issued in NC
Practice address
One Vanderbilt Park Dr
Suite 250
Asheville, NC 28803
Phone
(828) 277-5230
Fax
(828) 277-5614
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4214 NC Primary

Addresses

Primary practice location

One Vanderbilt Park Dr
Suite 250
Asheville, NC 28803

Mailing address

One Vanderbilt Park Dr
Suite 250
Asheville, NC 28803
Phone (828) 277-5230

Other identifiers 1

IdentifierTypeStateIssuer
8994753MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150130000533 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7416271044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael G Justice DDS PA Dentist Past Accepting new patients

Organizations & group practices 1

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457554107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE VANDERBILT PARK DR",
            "address_2": "SUITE 250",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28803",
            "telephone_number": "828-277-5230",
            "fax_number": "828-277-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE VANDERBILT PARK DR",
            "address_2": "SUITE 250",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28803",
            "telephone_number": "828-277-5230",
            "fax_number": "828-277-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "4214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994753",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.