Individual provider Active NPI

Joseph A Carlu, DDS

  • Dentist
  • Atlanta, MI
National Provider Identifier
1720201486
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
JC009488 Issued in MI
Practice address
11899 M 32
Atlanta, MI 49709-9374
Phone
(989) 785-4855
Fax
(989) 785-2267
NPI assigned
Apr 11, 2007
Last updated
Jan 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X JC009488 MI Primary

Addresses

Primary practice location

11899 M 32
Atlanta, MI 49709-9374

Mailing address

PO Box 427
Hillman, MI 49746-0427
Phone (989) 354-2197

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
I20150603002264 MI Order and Referring Only - DentistPractitioner - Dentist 2466773346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
JC009488MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1720201486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497460427",
            "telephone_number": "989-354-2197",
            "fax_number": "989-354-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11899 M 32",
            "city": "ATLANTA",
            "state": "MI",
            "postal_code": "497099374",
            "telephone_number": "989-785-4855",
            "fax_number": "989-785-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLU",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "JC009488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, MI

Sources for this page

Verify at the official NPI Registry.