NPIMap

Organization Active NPI

Michael C Hutchison PLLC

  • General Practice Dentistry
  • Traverse City, MI
National Provider Identifier
1699889592
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016997 Issued in MI
Legal business name
MICHAEL C HUTCHISON PLLC
Practice address
10850 E Traverse Hwy
Ste 2250
Traverse City, MI 49684
Phone
(231) 946-9644
Fax
(231) 946-9614
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Jennifer Kennedy
Title
Office Manager
Phone
(231) 946-9644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901016997 MI Primary

Addresses

Primary practice location

10850 E Traverse Hwy
Ste 2250
Traverse City, MI 49684

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1952860580OtherMIPIN

Other names 1

  • Associates in Family Dentistry Former legal business name

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1699889592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 E TRAVERSE HWY",
            "address_2": "STE 2250",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-946-9644",
            "fax_number": "231-946-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 E TRAVERSE HWY",
            "address_2": "STE 2250",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-946-9644",
            "fax_number": "231-946-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C HUTCHISON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-946-9644"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "1952860580",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associates in Family Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Associates in Family Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 23, 2019; 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.