Individual provider Active NPI

Michael C Freeman, DDS

  • General Practice Dentistry
  • The Woodlands, TX
National Provider Identifier
1740398718
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11316 Issued in TX
Practice address
1001 Medical Plaza Dr
Suite 300
The Woodlands, TX 77380-3241
Phone
(281) 367-0590
Fax
(281) 367-3980
NPI assigned
Aug 29, 2006
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 11316 TX Primary

Addresses

Primary practice location

1001 Medical Plaza Dr
Suite 300
The Woodlands, TX 77380-3241

Mailing address

30 Coralvine CT
The Woodlands, TX 77380-1515
Phone (281) 367-0039

Other identifiers 1

IdentifierTypeStateIssuer
11316OtherTXLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150220001947 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1557686201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11316TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Woodlands Dental Group, PA General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740398718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CORALVINE CT",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801515",
            "telephone_number": "281-367-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MEDICAL PLAZA DR",
            "address_2": "SUITE 300",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803241",
            "telephone_number": "281-367-0590",
            "fax_number": "281-367-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "11316",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.