Active NPI
Michael Hardy, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Clarkston, MI
National Provider Identifier
1861838211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2901015958
- Practice address
- 6887 Dixie Hwy
Clarkston, MI 48346-5107 - Phone
- (248) 620-5420
- NPI assigned
- May 13, 2013
- Last updated
- May 13, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901015958 | MI | Primary |
Addresses
Primary practice location
6887 Dixie Hwy
Clarkston, MI 48346-5107
Mailing address
584 Reynard CT
Bloomfield Hills, MI 48304-1831
Phone (248) 229-1610
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901015958 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1861838211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 REYNARD CT",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483041831",
"telephone_number": "248-229-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6887 DIXIE HWY",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483465107",
"telephone_number": "248-620-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-13",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "2901015958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.