Michelle M Backhaus, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02292000 Issued in NJ

Practice address

176 Summerhill Rd
East Brunswick, NJ 08816-4908

Phone

(732) 257-5588

Fax

(732) 257-9189

NPI assigned

Dec 19, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Central Jersey Pediatric Dentistry & Orthodontics LLC

  • Pediatric Dentistry
  • East Brunswick, NJ
  • NPI 1073767281
  NPD (past) Authorized official
• Irvin B Sherman, DDS, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • East Brunswick, NJ
  • NPI 1902954480

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801959804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 SUMMERHILL RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164908",
            "telephone_number": "732-257-5588",
            "fax_number": "732-257-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 SUMMERHILL RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164908",
            "telephone_number": "732-257-5588",
            "fax_number": "732-257-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKHAUS",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02292000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara H Axelrod-Malagold, M.D., M.P.H.
• Aung Aye, M.D.
• Wageeh W. Azer, MD
• Sarath Babu, MD
• Lynda Bachman, CERTIFICATION
• Lauren Baghsarian
• Ronald Jay Bagner, MD
• Phillip F. Bahramipour, M.D.
• Allison Baile, AU.D, CCC-A
• Wael Kamel Benyamin Bakhoum

• Pediatric Dentistry in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Pediatric Dentistry in New Jersey

• 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.

Verify at the official NPI Registry.