Active NPI
Alan Richard Hick, DDS
- General Practice Dentistry
- Breckenridge, MI
National Provider Identifier
1487829545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13235
- Practice address
- 422 West Chestnut Street
Breckenridge, MI 48615-0241 - Phone
- (989) 842-3151
- NPI assigned
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13235 | MI | Primary |
Addresses
Primary practice location
422 West Chestnut Street
Breckenridge, MI 48615-0241
Mailing address
PO Box 241
Breckenridge, MI 48615-0241
Phone (989) 842-3151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AH1826114 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13235 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1487829545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241",
"city": "BRECKENRIDGE",
"state": "MI",
"postal_code": "486150241",
"telephone_number": "989-842-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 WEST CHESTNUT STREET",
"city": "BRECKENRIDGE",
"state": "MI",
"postal_code": "486150241",
"telephone_number": "989-842-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICK",
"first_name": "ALAN",
"middle_name": "RICHARD",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "13235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AH1826114",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Breckenridge, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.