Individual provider Active NPI

Michael E. Learman, D.D.S., P.L.C.

  • Dentist
  • Bay City, MI
National Provider Identifier
1700866530
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14212 Issued in MI
Practice address
4141 Shrestha Dr
Bay City, MI 48706-2171
Phone
(989) 667-5630
Fax
(989) 667-5726
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14212 MI Primary

Addresses

Primary practice location

4141 Shrestha Dr
Bay City, MI 48706-2171

Mailing address

4141 Shrestha Dr
Bay City, MI 48706-2171
Phone (989) 667-5630

Other practice location 1

117 N Forest St
Standish, MI 48658-2506
Phone (989) 846-9545

Other identifiers 1

IdentifierTypeStateIssuer
202055563OtherMITAX NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150707002672 MI Order and Referring Only - DentistPractitioner - Dentist 0345208393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14212MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael E. Learman, D.D.S., P.L.C. Current Accepting new patients
Michael E. Learman, D.D.S., P.L.C. CurrentSince Feb 2, 2004 Accepting new patients

Locations

4141 Shrestha Dr
Bay City, MI 48706
Phone (989) 667-5630

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1700866530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 SHRESTHA DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062171",
            "telephone_number": "989-667-5630",
            "fax_number": "989-667-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SHRESTHA DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062171",
            "telephone_number": "989-667-5630",
            "fax_number": "989-667-5726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 N Forest St",
            "address_purpose": "LOCATION",
            "city": "Standish",
            "state": "MI",
            "postal_code": "486582506",
            "country_code": "US",
            "telephone_number": "989-846-9545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEARMAN",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "credential": "D.D.S., P.L.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "14212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX NUMBER",
            "identifier": "202055563",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.