Organization Active NPI

The Huntington Group, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Huntington Woods, MI
National Provider Identifier
1548208010
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901009537 Issued in MI
Legal business name
THE HUNTINGTON GROUP, P.C.
Practice address
26111 Woodward Ave
Huntington Woods, MI 48070-1330
Phone
(248) 547-8833
Fax
(248) 547-8836
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Dr. John V. Gaul, DDS, FACDNPI 1972585958
Title
President
Phone
(248) 547-8833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 2901009537 MI Primary

Addresses

Primary practice location

26111 Woodward Ave
Huntington Woods, MI 48070-1330

Mailing address

26111 Woodward Ave
Huntington Woods, MI 48070-1330
Phone (248) 547-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080321000112 MI Part B Supplier - Clinic/Group Practice 0143306894 Receives reassigned benefits from 3 practitioners
Practice locations: Bloomfield Hills, MI; Grand Blanc, MI; Huntington Woods, MI; Sterling Heights, MI

National Provider Directory

National Provider Directory
Tax ID family
Huntington Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

23851 Ford Rd
Dearborn, MI 48128
Phone (313) 274-4800

12750 S Saginaw St
Grand Blanc, MI 48439
Phone (989) 860-6429

12750 S Saginaw St
Ste 100
Grand Blanc, MI 48439
Phone (810) 695-9294

26111 Woodward Ave
Huntington Woods, MI 48070
Phone (248) 547-8833

42370 Van Dyke Ave
Ste 103
Sterling Heights, MI 48314
Phone (586) 254-2400

Practitioners & affiliated clinicians

Practitioners 5

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1548208010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26111 WOODWARD AVE",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701330",
            "telephone_number": "248-547-8833",
            "fax_number": "248-547-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26111 WOODWARD AVE",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701330",
            "telephone_number": "248-547-8833",
            "fax_number": "248-547-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HUNTINGTON GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "GAUL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-547-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,  FACD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901009537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.