Individual provider Active NPI

Michael Bentley Kayser, D.D.S.

  • General Practice Dentistry
  • Shelby Township, MI
National Provider Identifier
1710016670
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015191 Issued in MI
Practice address
54826 Dequindre Rd
Shelby Township, MI 48316-5625
Phone
(248) 601-6320
Fax
(248) 601-4416
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901015191 MI Primary

Addresses

Primary practice location

54826 Dequindre Rd
Shelby Township, MI 48316-5625

Mailing address

54826 Dequindre Rd
Shelby Township, MI 48316-5625
Phone (248) 601-6320

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
I20160506000440 MI Order and Referring Only - DentistPractitioner - Dentist 0941509319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710016670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54826 DEQUINDRE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165625",
            "telephone_number": "248-601-6320",
            "fax_number": "248-601-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54826 DEQUINDRE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165625",
            "telephone_number": "248-601-6320",
            "fax_number": "248-601-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYSER",
        "first_name": "MICHAEL",
        "middle_name": "BENTLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.