Mike Papastamatis, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2901021147 Issued in MI

Practice address

1202 Walton Blvd Ste 220
Rochester Hills, MI 48307-6917

Phone

(248) 651-0730

Fax

(248) 651-0585

NPI assigned

Feb 11, 2014

Last updated

May 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Dental Assoc., PC

  • General Practice Dentistry
  • Rochester, MI
  • NPI 1689782849
  NPD (past)
• Walby Dental PLLC

  dba University Dental Associates

  • General Practice Dentistry
  • Rochester, MI
  • NPI 1366172249
  NPD (past)

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1851715874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 WALTON BLVD STE 220",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076917",
            "telephone_number": "248-651-0730",
            "fax_number": "248-651-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 WALTON BLVD STE 220",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076917",
            "telephone_number": "248-651-0730",
            "fax_number": "248-651-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPASTAMATIS",
        "first_name": "MIKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-11",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela D. Johnson, M.D., P.C.
• Lynne J Pandoff
• Taya Rose Pantaleo, FNP-BC
• John Steven Papakonstantinou, MD
• Nicholas S. Papakonstantinou, M.D.
• Matthew Aaron Papsin, DMD
• Samantha Paquette
• Paradigm Psychiatry TMS PLLC
• Elaiza Parado, MSN, FNP-BC
• Carrie Pardon, LPC

• Dentist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.

Verify at the official NPI Registry.