Active NPI
Michelle Elizabeth Ward, DDS
- Dentist
- Memphis, TN
National Provider Identifier
1679679617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS0000007560
- Practice address
- 3068 Covington Pike
Suite 2
Memphis, TN 38128 - Phone
- (901) 386-2328
- Fax
- (901) 382-1538
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS0000007560 | TN | Primary |
Addresses
Primary practice location
3068 Covington Pike
Suite 2
Memphis, TN 38128
Mailing address
1934 Vinton Ave
Memphis, TN 38104
Phone (901) 272-7245
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000007560 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Family Dentistry | Past | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Memphis, TN
- NPI 1699816223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679679617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1934 VINTON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38104",
"telephone_number": "901-272-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3068 COVINGTON PIKE",
"address_2": "SUITE 2",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38128",
"telephone_number": "901-386-2328",
"fax_number": "901-382-1538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "MICHELLE",
"middle_name": "ELIZABETH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS0000007560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.