Individual provider Active NPI

Michael Haddad, DDS

  • General Practice Dentistry
  • Rochester Hills, MI
National Provider Identifier
1821668302
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
290160089 Issued in MI
Practice address
989 South Blvd E Ste 100
Rochester Hills, MI 48307-5305
Phone
(586) 573-0438
Fax
(586) 573-0438
NPI assigned
Jun 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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 290160089 MI Primary

Addresses

Primary practice location

989 South Blvd E Ste 100
Rochester Hills, MI 48307-5305

Mailing address

1016 Audubon Rd
Grosse Pointe Park, MI 48230-1407
Phone (313) 530-2987

Other practice location 1

310 W University Dr
Rochester Hills, MI 48307-1937
Phone (248) 651-8787

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
I20251023001781 MI Practitioner - Dentist 1254829070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Detroit Mercy School of Dentistry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Head and Neck Institute PCGroup PAC ID 0648344762, 3 clinicians

Practice addresses (Care Compare)

989 S Blvd E
Suite 100
Rochester Hills, MI 48307-5305
Phone (586) 573-0438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
290160089MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Head & Neck Institute PC CurrentSince Oct 1, 2025 Accepting new patients
Rochester Family Dentistry Past Accepting new patients

Locations

989 South Blvd E
Ste 100
Rochester Hills, MI 48307
Phone (586) 573-0438

3665 E 11 Mile Rd
Warren, MI 48092
Phone (586) 573-0438

Organizations & group practices 2

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1821668302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 AUDUBON RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301407",
            "telephone_number": "313-530-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 SOUTH BLVD E STE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075305",
            "telephone_number": "586-573-0438",
            "fax_number": "586-573-0438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483071937",
            "country_code": "US",
            "telephone_number": "248-651-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "290160089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.