Individual provider Active NPI

Norman J Betts, D.D.S., M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Plymouth, MI
National Provider Identifier
1831295369
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901014383 Issued in MI
Practice address
9416 S Main St
Suite 211
Plymouth, MI 48170-4157
Phone
(734) 455-0710
Fax
(734) 455-4433
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 2901014383 MI
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901014383 MI Primary

Addresses

Primary practice location

9416 S Main St
Suite 211
Plymouth, MI 48170-4157

Mailing address

2580 Oak Hills Dr
Ann Arbor, MI 48103-2220
Phone (734) 769-1454

Other identifiers 2

IdentifierTypeStateIssuer
97OH28051OtherMIBCBSM PRACTICE ID
NB014383OtherMILICENSE #

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
I20211006000068 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153553300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901014383MIMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1831295369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 OAK HILLS DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032220",
            "telephone_number": "734-769-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9416 S MAIN ST",
            "address_2": "SUITE 211",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704157",
            "telephone_number": "734-455-0710",
            "fax_number": "734-455-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTS",
        "first_name": "NORMAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MI",
            "license": "2901014383",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901014383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PRACTICE ID",
            "identifier": "97OH28051",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "NB014383",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.