Organization Active NPI

Matthew S. McEachran, D.D.S., P.C.

  • Dentist
  • Hillsdale, MI
National Provider Identifier
1497839906
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16163 Issued in MI
Legal business name
MATTHEW S. MCEACHRAN, D.D.S., P.C.
Practice address
3371 W Carleton Rd
Hillsdale, MI 49242-5040
Phone
(517) 437-0055
Fax
(517) 437-0515
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Florence A. Pfau
Title
Office Administrator
Phone
(517) 437-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 16163 MI Primary

Addresses

Primary practice location

3371 W Carleton Rd
Hillsdale, MI 49242-5040

Mailing address

3371 W Carleton Rd
Hillsdale, MI 49242-5040
Phone (517) 437-0055

National Provider Directory

National Provider Directory

Locations

3371 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-0055

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1497839906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3371 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492425040",
            "telephone_number": "517-437-0055",
            "fax_number": "517-437-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3371 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492425040",
            "telephone_number": "517-437-0055",
            "fax_number": "517-437-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW S. MCEACHRAN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "PFAU",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "517-437-0055"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "16163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.