Michael Anthony Michelakis, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7012 Issued in NC

Practice address

343 Whiteville Rd
Shallotte, NC 28470

Phone

(910) 754-4507

Fax

(910) 754-9320

NPI assigned

Nov 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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 and National Provider Directory roles.

• Ward & Michelakis, DDS, PA

  • General Practice Dentistry
  • Shallotte, NC
  • NPI 1659557072
  NPD (past) Authorized official

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487720926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 229",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284590229",
            "telephone_number": "910-754-4507",
            "fax_number": "910-754-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 WHITEVILLE RD",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "28470",
            "telephone_number": "910-754-4507",
            "fax_number": "910-754-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELAKIS",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899019H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Lynn Meekins, PHARM. D.
• Nenita Mehrley
• Ryan Metzger, LCSWA
• Michael L Cahn MD PA
• Jared Michael, PHARMD
• Lori Anne Michell, LCSWA, LCAS
• Milky Waves LLC
• Julia Elizabeth Miller, DPT
• Thomas R Miller, RPH
• Courtney A Milliken, LPC

• Dentist in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.