Individual provider Active NPI

Heather Huffer Charchut, D. M. D.

  • Periodontics
  • Lansing, MI
National Provider Identifier
1730399890
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2901018475 Issued in MI
Practice address
5238 W St Joe Hwy
Lansing, MI 48917-4085
Phone
(517) 321-5500
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

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
Periodontics 1223P0300X 2901018475 MI Primary

Addresses

Primary practice location

5238 W St Joe Hwy
Lansing, MI 48917-4085

Mailing address

5907 Coventry Cir
East Lansing, MI 48823-7781
Phone (517) 339-2140

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
I20150126000394 MI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7416271309

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730399890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 COVENTRY CIR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237781",
            "telephone_number": "517-339-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5238 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174085",
            "telephone_number": "517-321-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARCHUT",
        "first_name": "HEATHER",
        "middle_name": "HUFFER",
        "name_prefix": "Dr.",
        "credential": "D. M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901018475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.