Michelle M. Dorsey, D.M.D., M.A.G.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN13060 Issued in FL

Practice address

325 E Merritt Island Cswy Ste M
Merritt Island, FL 32952-3670

Phone

(321) 454-4440

Fax

(321) 454-9140

NPI assigned

Sep 13, 2010

Last updated

Sep 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1639486640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E MERRITT ISLAND CSWY STE M",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523670",
            "telephone_number": "321-454-4440",
            "fax_number": "321-454-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E MERRITT ISLAND CSWY STE M",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523670",
            "telephone_number": "321-454-4440",
            "fax_number": "321-454-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "MICHELLE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.A.G.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER PROVIDER",
            "identifier": "001625500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Doherty, RPH
• Ashley Dawn Doig, RBT
• Tamara L Dombroski, RN
• Rocio Dominguez Aguilar, MHSC, PA-C
• Jonathan Scott Dorn, M.D.
• Michael James Dougherty, MD
• Melody M Dowd, REGISTERED NURSE
• Joyce Anne Downing, P.T.
• Amanda Lynn Doyle, ATC, LAT
• Heather Jean Dozois, APRN

• Dentist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.