Marilyn Rita Michet, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19020094 Issued in IL

Practice address

9541 S Pulaski Rd
Evergreen Park, IL 60805-1911

Phone

(708) 424-2220

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Michet Dental Offices P.C.

  • General Practice Dentistry
  • Evergreen Park, IL
  • NPI 1154470763
  NPD (past) Authorized official
• Evergreen Smiles Dental

  • Dental Clinic/Center
  • Evergreen Park, IL
  • NPI 1649058728
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1750430351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9541 S PULASKI RD",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051911",
            "telephone_number": "708-424-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9541 S PULASKI RD",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051911",
            "telephone_number": "708-424-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10729 163rd Pl",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604678861",
            "country_code": "US",
            "telephone_number": "708-590-6380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHET",
        "first_name": "MARILYN",
        "middle_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19020094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro Family Care
• Metro Medical Group, LLC
• Lisa Marie Micetich, R.D.
• Michet Dental Offices P.C.
• Lawrence Thomas Michet Jr., D.D.S.
• Robert J Michet, D.D.S.
• Midwest Express Care 2, Inc
• Midwest Primary Care, S.C.
• April J. Miller, D.C., F.P.S.C.
• Kenneth Bryce Miller, DDS

• General Practice Dentistry in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.