Andrew R. Bargren, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019195 Issued in MI

Practice address

5638 Cleveland Ave
Stevensville, MI 49127-9696

Phone

(269) 429-4661

Fax

(269) 426-4486

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Lakshore Family Dental

  • Dentist
  • Stevensville, MI
  • NPI 1356614838
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568593655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 CLEVELAND AVE",
            "address_2": "P.O. BOX 177",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279696",
            "telephone_number": "269-429-4661",
            "fax_number": "269-426-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5638 CLEVELAND AVE",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279696",
            "telephone_number": "269-429-4661",
            "fax_number": "269-426-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGREN",
        "first_name": "ANDREW",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Place Called Home in Stevensville LLC (A Place Called Home)
• Christopher T Alphenaar, LPC, LLP. CAADC
• Christiana Danielle Atkins, LLPC
• Kristen Kaye Bachman, COTA
• Luz Lim Bargren, DDS
• Fawn Bass
• Candice M Bearden, LPN
• Betsy Marie Becker, NP
• James Bednar, DDS

• General Practice Dentistry in Stevensville, MI
• Providers in Stevensville, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.