Corinne Lynn McIntyre-Miller, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019677 Issued in MI

Practice address

95 N Williams Lake Rd
White Lake, MI 48386-2557

Phone

(248) 698-8330

Fax

(248) 698-8333

NPI assigned

Jul 16, 2007

Sex

Female

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.

• James a. Bedor, DDS, PC

  • General Practice Dentistry
  • White Lake, MI
  • NPI 1922272731
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1598964959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 N WILLIAMS LAKE RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483862557",
            "telephone_number": "248-698-8330",
            "fax_number": "248-698-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 N WILLIAMS LAKE RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483862557",
            "telephone_number": "248-698-8330",
            "fax_number": "248-698-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE-MILLER",
        "first_name": "CORINNE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "019677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Mary Marks, RN
• Heidi Martin, PHD, LLP
• Jade Erin Martinez, LLBSW
• Kendra Shirley Mathews
• Marisa Matthews
• Rebecca Joyce McKee
• Linda McTaggart
• Meijer Inc
• Mentors of Michigan Inc.
• Earl Gordon Meyer, D.C.

• General Practice Dentistry in White Lake, MI
• Providers in White Lake, 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 Mar 29, 2017; 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.