Individual provider Active NPI

Michael Keith Eklund, DDS., MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1649369711
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9491 Issued in TX
Practice address
24 E Greenway PLZ
Suite 1708
Houston, TX 77046-2401
Phone
(713) 439-7575
Fax
(713) 439-0924
NPI assigned
Oct 12, 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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9491 TX Primary

Addresses

Primary practice location

24 E Greenway PLZ
Suite 1708
Houston, TX 77046-2401

Mailing address

24 E Greenway PLZ
Suite 1708
Houston, TX 77046-2401
Phone (713) 439-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 10, 2013 through Sep 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Hullett Dental Group, PLLC Oral and Maxillofacial Surgery Past Accepting new patients
Southwest Oral and Implant Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649369711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 E GREENWAY PLZ",
            "address_2": "SUITE 1708",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770462401",
            "telephone_number": "713-439-7575",
            "fax_number": "713-439-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E GREENWAY PLZ",
            "address_2": "SUITE 1708",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770462401",
            "telephone_number": "713-439-7575",
            "fax_number": "713-439-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKLUND",
        "first_name": "MICHAEL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DDS., MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "9491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.