Dennis T Spillane, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901013854 Issued in MI

Practice address

6668 Bernie Kohler Dr
North Branch, MI 48461-8885

Phone

(810) 688-3047

Fax

(810) 688-3109

NPI assigned

May 24, 2007

Last updated

Mar 18, 2016By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pure North Dentistry PLLC

  dba Pure North Dentistry of Grayling

  • General Practice Dentistry
  • Grayling, MI
  • NPI 1295696698
  NPD Authorized official
• Dental Health Care

  • Dentist
  • North Branch, MI
  • NPI 1407908353
  NPD (past) Authorized official
• Thumbs Up Dental PLC

  • General Practice Dentistry
  • North Branch, MI
  • NPI 1396194593
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1619188653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6668 BERNIE KOHLER DR",
            "city": "NORTH BRANCH",
            "state": "MI",
            "postal_code": "484618885",
            "telephone_number": "810-688-3047",
            "fax_number": "810-688-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6668 BERNIE KOHLER DR",
            "city": "NORTH BRANCH",
            "state": "MI",
            "postal_code": "484618885",
            "telephone_number": "810-688-3047",
            "fax_number": "810-688-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLANE",
        "first_name": "DENNIS",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita M Schierlinger, NP
• Heidi Sears
• Nutan Motichand Shah, RPH
• Lorraine Dale Sims, MA, LLP, LPC
• Ola Michael Sitto, DDS
• Shawn Spillane, DDS
• William J Starbird, MD
• Daniel E Tackabury, MD
• Margaret Anne Taylor
• Jessica Terry

• General Practice Dentistry in North Branch, MI
• Providers in North Branch, 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 18, 2016; 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.