Individual provider Active NPI

Christofer Hatzis, DDS

  • Dentist
  • Sterling Heights, MI
National Provider Identifier
1467058388
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600624 Issued in MI
Practice address
36800 Ryan Rd
Sterling Heights, MI 48310-4455
Phone
(586) 264-2000
NPI assigned
Dec 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600624 MI Primary

Addresses

Primary practice location

36800 Ryan Rd
Sterling Heights, MI 48310-4455

Mailing address

36800 Ryan Rd
Sterling Heights, MI 48310-4455
Phone (586) 264-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901600624MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hatzis Dental Group PC CurrentSince Jan 21, 2022 Accepting new patients

Locations

28119 John R Rd
Madison Heights, MI 48071
Phone (248) 548-8787

36800 Ryan Rd
Sterling Heights, MI 48310
Phone (586) 264-2000

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": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1467058388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36800 RYAN RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104455",
            "telephone_number": "586-264-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36800 RYAN RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104455",
            "telephone_number": "586-264-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATZIS",
        "first_name": "CHRISTOFER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.