Active NPI
Nicholas S Pound, D.D.S.
- Dentist
- Jackson, MI
National Provider Identifier
1730138934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17987
- Practice address
- 2885 Spring Arbor Rd
Jackson, MI 49203-3607 - Phone
- (517) 787-0900
- Fax
- (517) 787-6363
- NPI assigned
- May 8, 2006
- Last updated
- Feb 26, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17987 | MI | Primary |
Addresses
Primary practice location
2885 Spring Arbor Rd
Jackson, MI 49203-3607
Mailing address
2885 Spring Arbor Rd
Jackson, MI 49203-3607
Phone (517) 787-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 1, 2015 through Dec 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17987 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1730138934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2885 SPRING ARBOR RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033607",
"telephone_number": "517-787-0900",
"fax_number": "517-787-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2885 SPRING ARBOR RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033607",
"telephone_number": "517-787-0900",
"fax_number": "517-787-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POUND",
"first_name": "NICHOLAS",
"middle_name": "S",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "17987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.