Individual provider Active NPI

Marvin Sonne, D.D.S.

  • General Practice Dentistry
  • Trenton, MI
National Provider Identifier
1801970827
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901010486 Issued in MI
Practice address
1550 Kingsway CT
Trenton, MI 48183-1923
Phone
(734) 671-8414
Fax
(734) 671-8234
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 2901010486 MI Primary

Addresses

Primary practice location

1550 Kingsway CT
Trenton, MI 48183-1923

Mailing address

28601 Appleblossom LN
Farmington Hills, MI 48331-2403
Phone (248) 553-2958

Other identifiers 1

IdentifierTypeStateIssuer
1766417MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20161003000060 MI Order and Referring Only - DentistPractitioner - Dentist 8628365855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901010486MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sonne Family Dental, P.C. General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801970827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28601 APPLEBLOSSOM LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312403",
            "telephone_number": "248-553-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 KINGSWAY CT",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831923",
            "telephone_number": "734-671-8414",
            "fax_number": "734-671-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNE",
        "first_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901010486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1766417",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

Verify at the official NPI Registry.