Active NPI
James Richard Michaud, DDS MS
- Pediatric Dentistry
- Gilbert, AZ
National Provider Identifier
1770706806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D3689
- Practice address
- 2363 E Baseline Rd
Gilbert, AZ 85234-2357 - Phone
- (480) 558-1400
- NPI assigned
- Apr 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D3689 | AZ | Primary |
Addresses
Primary practice location
2363 E Baseline Rd
Gilbert, AZ 85234-2357
Mailing address
2363 E Baseline Rd
Gilbert, AZ 85234-2357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000579846 | Other | UNITED CONCORDIA ID |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D3689 | AZ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Dentistry for Children LLC | Pediatric Dentistry | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Gilbert, AZ
- NPI 1780749333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770706806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2363 E BASELINE RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2363 E BASELINE RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342357",
"telephone_number": "480-558-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAUD",
"first_name": "JAMES",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "D3689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA ID",
"identifier": "000579846",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
- Michael B Collins DC PLC (Chiropractic USA)
- Michael W Abromovitz DC LLC (Gilbert Chiropractic and Acupuncture Clinic)
- Samantha Luella Michals
- Christine Cooper Michalski
- James Braden Michaud, DDS
- Richard Michaud, D.D.S.
- Kellie Michell
- Michelle H Carnes PLLC (MHC First Assisting)
- John-David Greayer Michels, PA-C
- Brady Michelsen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.