Individual provider Active NPI

Heather Rae Shoffstall McAlvey, DDS

  • General Practice Dentistry
  • Charlotte, MI
National Provider Identifier
1760004824
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901600554 Issued in MI
Practice address
623 Courthouse Dr
Charlotte, MI 48813-1072
Phone
(517) 541-8157
NPI assigned
May 12, 2020
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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 2901600554 MI Primary

Addresses

Primary practice location

623 Courthouse Dr
Charlotte, MI 48813-1072

Mailing address

3228 Jerree St
Lansing, MI 48911-2625
Phone (517) 420-4243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901600554MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1760004824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 JERREE ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489112625",
            "telephone_number": "517-420-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 COURTHOUSE DR",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131072",
            "telephone_number": "517-541-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALVEY",
        "first_name": "HEATHER RAE",
        "middle_name": "SHOFFSTALL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.