Individual provider Active NPI

Frederick Eli Ranney III, D.M.D.

  • General Practice Dentistry
  • Mt Pleasant, MI
National Provider Identifier
1508144627
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016778 Issued in MI
Practice address
2020 E Preston St
Mt Pleasant, MI 48858-8990
Phone
(989) 772-4026
NPI assigned
Jul 22, 2011
Last updated
Jul 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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 2901016778 MI Primary

Addresses

Primary practice location

2020 E Preston St
Mt Pleasant, MI 48858-8990

Mailing address

2020 E Preston St
Mt Pleasant, MI 48858-8990

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
I20150603000743 MI Order and Referring Only - DentistPractitioner - Dentist 7315268430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901016778MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1508144627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E PRESTON ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488588990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E PRESTON ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488588990",
            "telephone_number": "989-772-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANNEY",
        "first_name": "FREDERICK",
        "middle_name": "ELI",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.