Individual provider Active NPI

Dennis M Santini, DDS

  • General Practice Dentistry
  • Kingsford, MI
National Provider Identifier
1639241037
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
720 East Blvd
Kingsford, MI 49802-4539
Phone
(906) 774-5087
Fax
(906) 774-0586
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X MI Primary

Addresses

Primary practice location

720 East Blvd
Kingsford, MI 49802-4539

Mailing address

720 East Blvd
Kingsford, MI 49802-4539
Phone (906) 774-5087

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150305000517 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7416273669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
382261722MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Santini Family Dentistry, PLLC General Practice PastSince Sep 20, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639241037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 EAST BLVD",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024539",
            "telephone_number": "906-774-5087",
            "fax_number": "906-774-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 EAST BLVD",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024539",
            "telephone_number": "906-774-5087",
            "fax_number": "906-774-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTINI",
        "first_name": "DENNIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsford, MI

Sources for this page

Verify at the official NPI Registry.