Michael D Auvinen, DDS, MAGD
Individual provider Active NPI Dentist · Ashland, WI
NPI 1679639504 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1679639504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5671 (WI)
- Practice address
- 615 Lake Shore Dr W
Ashland, WI 54806-1507 - Phone
- (715) 682-2811
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141120000533 | WI | Order and Referring Only - Oral Surgery |
0446472831 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5671 | WI | MD | Dentist |
| 5671 015 EWI | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Dental Center, SC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5671 015 EWI | WI | |
| Dentist | 122300000X | 5671 | WI | Yes |
Addresses
Primary practice location
615 Lake Shore Dr W
Ashland, WI 54806-1507
Mailing address
615 Lake Shore Dr W
Ashland, WI 54806-1507
Phone (715) 682-2811
Other providers in Ashland, WI
- Ashland Dental Clinic Inc
- Ashland Eye Specialist, SC
- Ashland Pathology Services SC
- Ashland Pharmacy Inc
- Terrence P Asplund
- Avanti Home Health Services, LLC
- Bad River Band of Lake Superior Tribe of Chippewa Indains Wis
- Bad River Band of Lake Superior Tribe of Chippewa Indians
- Bad River Band of Lake Superior Tribe of Chippewa Indians Wis
- Bad River Band of Lake Superior Tribe of Chippewa Indians Wis.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.