Joseph A Carlu, DDS
Individual provider Active NPI Dentist · Atlanta, MI
NPI 1720201486 · NPPES record last updated Jan 27, 2017
Key facts
- NPI
- 1720201486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- JC009488 (MI)
- Practice address
- 11899 M 32
Atlanta, MI 49709-9374 - Phone
- (989) 785-4855
- Fax
- (989) 785-2267
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150603002264 | MI | Order and Referring Only - Dentist |
2466773346 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JC009488 | MI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | JC009488 | MI | Yes |
Addresses
Primary practice location
11899 M 32
Atlanta, MI 49709-9374
Mailing address
PO Box 427
Hillman, MI 49746-0427
Phone (989) 354-2197
Other providers in Atlanta, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.