Individual provider Active NPI

Steven Kyle Polasek, D.D.S.

  • Dentist
  • Howell, MI
National Provider Identifier
1548640857
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021505 Issued in MI
Practice address
112 W Grand River Ave
Howell, MI 48843-2268
Phone
(517) 546-8983
NPI assigned
Jun 2, 2015
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021505 MI Primary

Addresses

Primary practice location

112 W Grand River Ave
Howell, MI 48843-2268

Mailing address

112 W Grand River Ave
Howell, MI 48843-2268
Phone (517) 546-8983

Other identifiers 1

IdentifierTypeStateIssuer
1689255713OtherMINPI NUMBER

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
I20161130000092 MI Order and Referring Only - DentistPractitioner - Dentist 4082994546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Dental Studio Howell CurrentSince Jun 15, 2025 Accepting new patients
Schaefer Dental Group-Howell CurrentSince Jun 15, 2025 Accepting new patients
Michigan Dental Studio Rochester Dentist Current Accepting new patients

Locations

112 W Grand River Ave
Howell, MI 48843
Phone (517) 546-8983

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1548640857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432268",
            "telephone_number": "517-546-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432268",
            "telephone_number": "517-546-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLASEK",
        "first_name": "STEVEN",
        "middle_name": "KYLE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1689255713",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.