Individual provider Active NPI

Alex Lee Givens, D.D.S

  • General Practice Dentistry
  • Frankenmuth, MI
National Provider Identifier
1457730921
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901021496 Issued in MI
Practice address
1025 W Genesee St
Frankenmuth, MI 48734-1302
Phone
(989) 652-6196
NPI assigned
May 29, 2015
Last updated
May 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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 2901021496 MI Primary

Addresses

Primary practice location

1025 W Genesee St
Frankenmuth, MI 48734-1302

Mailing address

PO Box 206
Frankenmuth, MI 48734-0206
Phone (989) 652-6196

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
I20160126002484 MI Order and Referring Only - DentistPractitioner - Dentist 5092018937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fenton Smiles PLLC General Practice Current Accepting new patients
Frankenmuth Family Dental Associates General Practice Past Accepting new patients

Locations

3309 W Silver Lake Rd
Ste E
Fenton, MI 48430

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1457730921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487340206",
            "telephone_number": "989-652-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W GENESEE ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341302",
            "telephone_number": "989-652-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "ALEX",
        "middle_name": "LEE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankenmuth, MI

Sources for this page

Verify at the official NPI Registry.