Individual provider Active NPI

Susan Madeira Halonen, DDS

  • General Practice Dentistry
  • Battle Creek, MI
National Provider Identifier
1811176613
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11940 Issued in MI
Practice address
9 Heritage Oak LN
Suite 4
Battle Creek, MI 49015-4281
Phone
(269) 979-3400
Fax
(269) 979-3484
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 11940 MI Primary

Addresses

Primary practice location

9 Heritage Oak LN
Suite 4
Battle Creek, MI 49015-4281

Mailing address

9 Heritage Oak LN
Suite 4
Battle Creek, MI 49015-4281
Phone (269) 979-3400

Other identifiers 1

IdentifierTypeStateIssuer
2952462MedicaidMI

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

State licenses

LicenseStateTypeSpecialty
11940MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo Anesthesiology P C 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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1811176613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HERITAGE OAK LN",
            "address_2": "SUITE 4",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154281",
            "telephone_number": "269-979-3400",
            "fax_number": "269-979-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HERITAGE OAK LN",
            "address_2": "SUITE 4",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154281",
            "telephone_number": "269-979-3400",
            "fax_number": "269-979-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALONEN",
        "first_name": "SUSAN",
        "middle_name": "MADEIRA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2952462",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.