Individual provider Active NPI

Nicholas Emil Nahernak, DDS PC

  • Dentist
  • Cass City, MI
National Provider Identifier
1578501995
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901013491 Issued in MI
Practice address
6506 Church Street
Cass City, MI 48726-1204
Phone
(989) 872-2181
Fax
(989) 872-4471
NPI assigned
Jun 4, 2006
Last updated
Jun 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901013491 MI Primary

Addresses

Primary practice location

6506 Church Street
Cass City, MI 48726-1204

Mailing address

6506 Church Street
Cass City, MI 48726-1204
Phone (989) 872-2181

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
I20160218002164 MI Order and Referring Only - DentistPractitioner - Dentist 4789989377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Green & Nahernak DDS PC Dentist Past Accepting new patients

Organizations & group practices 1

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1578501995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 CHURCH STREET",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261204",
            "telephone_number": "989-872-2181",
            "fax_number": "989-872-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 CHURCH STREET",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261204",
            "telephone_number": "989-872-2181",
            "fax_number": "989-872-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHERNAK",
        "first_name": "NICHOLAS",
        "middle_name": "EMIL",
        "credential": "DDS PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901013491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cass City, MI

Sources for this page

Verify at the official NPI Registry.