Active NPI
Michelle Spencer, RDH
- Dental Hygienist
- Berkley, MI
National Provider Identifier
1609234343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2902017545
- Practice address
- 3894 Robina Ave
Berkley, MI 48072-1499 - Phone
- (248) 496-7447
- Fax
- (248) 439-2900
- NPI assigned
- Feb 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902017545 | MI | Primary |
Addresses
Primary practice location
3894 Robina Ave
Berkley, MI 48072-1499
Mailing address
3894 Robina Ave
Berkley, MI 48072-1499
Phone (248) 496-7447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2902017545 | MI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1609234343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3894 ROBINA AVE",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721499",
"telephone_number": "248-496-7447",
"fax_number": "248-439-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3894 ROBINA AVE",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721499",
"telephone_number": "248-496-7447",
"fax_number": "248-439-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-09",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902017545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.