Individual provider Active NPI

Hayley Rae Popp, DDS

  • Dentist
  • Traverse City, MI
National Provider Identifier
1679211973
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601212 Issued in MI
Practice address
10850 E Traverse Hwy Ste 2250
Traverse City, MI 49684-1319
Phone
(231) 946-9644
NPI assigned
May 25, 2022
Last updated
May 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 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 2901601212 MI Primary

Addresses

Primary practice location

10850 E Traverse Hwy Ste 2250
Traverse City, MI 49684-1319

Mailing address

4893 Green Hill CT
Traverse City, MI 49684-8561
Phone (586) 405-2938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901601212MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael C Hutchison PLLC CurrentSince May 29, 2022 Accepting new patients

Locations

10850 E Traverse Hwy
Ste 2250
Traverse City, MI 49684
Phone (231) 946-9644

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

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1679211973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4893 GREEN HILL CT",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848561",
            "telephone_number": "586-405-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 E TRAVERSE HWY STE 2250",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496841319",
            "telephone_number": "231-946-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPP",
        "first_name": "HAYLEY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.