Individual provider Active NPI

Michael D Auvinen, DDS, MAGD

  • Dentist
  • Ashland, WI
National Provider Identifier
1679639504
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5671 Issued in WI
Practice address
615 Lake Shore Dr W
Ashland, WI 54806-1507
Phone
(715) 682-2811
NPI assigned
Dec 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5671 015 EWI WI
Dentist 122300000X 5671 WI Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20141120000533 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446472831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5671WIMDDentist
5671 015 EWIWIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Dental Center, SC General Practice PastSince Dec 6, 2022 Accepting new patients

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679639504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 LAKE SHORE DR W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061507",
            "telephone_number": "715-682-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LAKE SHORE DR W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061507",
            "telephone_number": "715-682-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUVINEN",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS, MAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-03-07",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5671 015 EWI",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

Verify at the official NPI Registry.