Active NPI
Michael John McElligatt, DDS
- General Practice Dentistry
- Clinton TWP, MI
National Provider Identifier
1518044643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8695
- Practice address
- 37040 Garfield
Suite C-1
Clinton TWP, MI 48036 - Phone
- (586) 791-5480
- NPI assigned
- Nov 1, 2006
- 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 | 8695 | MI | Primary |
Addresses
Primary practice location
37040 Garfield
Suite C-1
Clinton TWP, MI 48036
Mailing address
37040 Garfield
Suite C-1
Clinton TWP, MI 48036
Phone (586) 791-5480
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8695 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1518044643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37040 GARFIELD",
"address_2": "SUITE C-1",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "48036",
"telephone_number": "586-791-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37040 GARFIELD",
"address_2": "SUITE C-1",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "48036",
"telephone_number": "586-791-5480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELLIGATT",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "8695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.