Individual provider Active NPI

Devin Jean Hodell, DDS

  • Dentist
  • Chesterfield, MI
National Provider Identifier
1639748197
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
290160283 Issued in MI
Practice address
34121 23 Mile Rd
Chesterfield, MI 48047-2077
Phone
(586) 725-2125
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 290160283 MI Primary

Addresses

Primary practice location

34121 23 Mile Rd
Chesterfield, MI 48047-2077

Mailing address

14200 Talbot Dr
Warren, MI 48088-3809
Phone (586) 216-5267

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
I20210810002924 MI Order and Referring Only - DentistPractitioner - Dentist 4183028368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
290160283MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Family Dental PLLC CurrentSince Nov 6, 2022 Accepting new patients

Locations

34121 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 725-2125

Interoperability endpoints

  • Direct secure messaging: dhodell1044030@direct.trinity-health.org

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1639748197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 TALBOT DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883809",
            "telephone_number": "586-216-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34121 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480472077",
            "telephone_number": "586-725-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODELL",
        "first_name": "DEVIN",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "290160283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.