Michele L. McGorky, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D-4815 Issued in ID

Practice address

111 Bever Grade Road
Lapwai, ID 83540-0367

Phone

(208) 843-2271

Fax

(208) 621-4995

NPI assigned

Jul 7, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Dentist

Education

University of California, Irvine, California College of Medicine, 1984

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelem@nimiipuuhealth.directbygreenway.com

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.

• Hidalgo Medical Services

  • Federally Qualified Health Center (FQHC)
  • Lordsburg, NM
  • NPI 1306843180

  NM

  Medicare reassignment
• Hidalgo Medical Services

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1255324562
  NPD
• Hidalgo Medical Services

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1467971986
  NPD

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1629075411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER 367",
            "address_2": "530 DEMOSS STREET",
            "city": "LAPWAI",
            "state": "ID",
            "postal_code": "835400367",
            "telephone_number": "208-843-2271",
            "fax_number": "208-621-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BEVER GRADE ROAD",
            "city": "LAPWAI",
            "state": "ID",
            "postal_code": "835400367",
            "telephone_number": "208-843-2271",
            "fax_number": "208-621-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGORKY",
        "first_name": "MICHELE",
        "middle_name": "L.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4815",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD2605",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85705349",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darrel W Kipp, MS ACADC
• Lapwai School District 341
• Jeanne L Laws, RN CDE
• Taawna Nee Lightfoot, MT
• Cathlin McGee, LMHC
• Mary Jane Miles, CDSII
• Sabrina Gail Morton, LPN
• Steven C Nash, DDS
• Nez Perce Tribal Health Authority
• Nez Perce Tribal Health Board

• All providers in Lapwai, ID
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.