Michele Barnard Pindyck, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

552261 Issued in WI

Practice address

205 Commerce CT
Elkhorn, WI 53121-4360

Phone

(262) 379-1401

NPI assigned

Nov 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 1, 2017 through Feb 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Tigard Family Dental, PC

  • General Practice Dentistry
  • Tigard, OR
  • NPI 1205135118
  NPD (past)

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619254398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W59N457 HILGEN AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122443",
            "telephone_number": "971-276-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 COMMERCE CT",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214360",
            "telephone_number": "262-379-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532332186",
            "country_code": "US",
            "telephone_number": "971-276-1793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11820 SW King James Pl",
            "address_2": "Suite 20",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972242480",
            "country_code": "US",
            "telephone_number": "503-968-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINDYCK",
        "first_name": "MICHELE",
        "middle_name": "BARNARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "552261",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton Richard Peterson, LCSW
• Valerian Mark Peterson, MD
• Harrison R Pham
• Physical Therapy & Sports Rehabilitation, LLC
• Christa B Pierce
• Beth Piotter, PT
• Amanda J Pipp, PA-C
• Joyce Placzkowski, SAC-IT
• Sarah Pohl-Armour
• Jane Porath, PA-C

• General Practice Dentistry in Elkhorn, WI
• Providers in Elkhorn, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.