Active NPI
Norman J Betts, D.D.S., M.S.
- Oral and Maxillofacial Surgery (Dentist)
- Plymouth, MI
National Provider Identifier
1831295369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2901014383
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97OH28051 | Other | MI | BCBSM PRACTICE ID |
| NB014383 | Other | MI | LICENSE # |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211006000068 | MI | Order and Referring Only - Oral Surgery | 1153553300 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901014383 | MI | MD | Oral 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.