John Salvatore Halmaghi, DDS
Individual provider Active NPI General Practice Dentistry · Walled Lake, MI
NPI 1760423800 · NPPES record last updated Nov 12, 2019
Key facts
- NPI
- 1760423800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 15035 (MI)
- Practice address
- 1935 N Pontiac TRL
Walled Lake, MI 48390-3110 - Phone
- (248) 496-4497
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200326000333 | MI | Order and Referring Only - Dentist |
8729005699 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15035 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Today'S Dental, P.C. | General Practice | Current |
Accepting new patients |
Locations
30003 Southfield Rd
Southfield, MI 48076
Phone (248) 499-0224
1935 N Pontiac Trl
Walled Lake, MI 48390
Phone (248) 624-6633
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15035 | MI | Yes |
Addresses
Primary practice location
1935 N Pontiac TRL
Walled Lake, MI 48390-3110
Mailing address
1935 N Pontiac TRL
Walled Lake, MI 48390-3110
Phone (248) 496-4497
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1956372130 | Other | MI | BLUE CROSS IDENTIFIER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Outlook | Direct |
Other providers in Walled Lake, MI
- Guided Hands Massage Therapy
- Lauren Haelterman
- Jamie L Hafke
- Taleb Radwan Hage
- Reema Hakim
- Jacklyn Joan-Marie Hansen
- Emma Mary Harris
- Steven Hechtman
- Carl Hendricks
- Karen Hendricks
All providers in Walled Lake, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.