Michael L. Enloe, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

746 Issued in VI

Practice address

3004 Estate Altona
Medical Arts Complex #5
St Thomas, VI 00802-5735

Phone

(340) 774-2395

Fax

(340) 774-2882

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 VI

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

Practice roles

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.

• Derrick D. Jones P C

  dba Umbra Anesthesiology

  • Anesthesiology Physician
  • St Thomas, VI
  • NPI 1881918878
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780754812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 ESTATE ALTONA",
            "address_2": "MEDICAL ARTS COMPLEX #5",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008025735",
            "telephone_number": "340-774-2395",
            "fax_number": "340-774-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 ESTATE ALTONA",
            "address_2": "MEDICAL ARTS COMPLEX #5",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008025735",
            "telephone_number": "340-774-2395",
            "fax_number": "340-774-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENLOE",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VI",
            "license": "746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Early Bird Surgical LLC
• Brian Edalgo, RRT
• Elite Medical Supply, LLC
• Robin Lesette Ellett, M.D.
• Embracive Health Services, Inc.
• Experience This Fit
• Eye Clinic,LLC
• Falcon Medical LLC
• Michael C. Fischer, M.D.
• Alexis La'Raine Fleming, ATC

• General Practice Dentistry in St Thomas, VI
• Providers in St Thomas, VI by specialty
• General Practice Dentistry in U.S. Virgin Islands

• 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.
• 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.