Joshua Lawrence Secrest, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901019643 Issued in MI

Practice address

2231 Diamond Point Rd
Alpena, MI 49707-4604

Phone

(989) 354-4100

NPI assigned

Aug 8, 2007

Last updated

Jul 24, 2020By 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 2

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

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

• Joshua L Secrest DDS, PLLC

  • Dental Clinic/Center
  • Alpena, MI
  • NPI 1699384800
  NPD Authorized official

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1629269196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 DIAMOND POINT RD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074604",
            "telephone_number": "989-354-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 DIAMOND POINT RD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074604",
            "telephone_number": "989-354-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2685 US Highway 23 S",
            "address_purpose": "LOCATION",
            "city": "Alpena",
            "state": "MI",
            "postal_code": "497074619",
            "country_code": "US",
            "telephone_number": "847-450-4143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SECREST",
        "first_name": "JOSHUA",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029282",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandi Schuch
• Amanda Rae Schuelke, LLBSW
• Cathryn Ann Schultz, PT
• Sharon Lynn Schultz, LLMSW
• Melissa L Schulze, RN
• Alex Senchuk, PHARMD
• April Senchuk
• McKenna Sharp
• Cassandra Shaw, LLMSW
• Kelsi Shea, RN

• Dentist in Alpena, MI
• Providers in Alpena, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.