Individual provider Active NPI

Mary Margaret Bachelder, DDS

  • General Practice Dentistry
  • Roscommon, MI
National Provider Identifier
1881328763
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901601488 Issued in MI
Practice address
135 Lake St
Roscommon, MI 48653-7697
Phone
(989) 275-0725
NPI assigned
Jul 15, 2022
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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 2901601488 MI Primary

Addresses

Primary practice location

135 Lake St
Roscommon, MI 48653-7697

Mailing address

135 Lake St
Roscommon, MI 48653-7697
Phone (989) 275-0725

Other names 1

  • Mary Margaret Bachelder Former name

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

LicenseStateTypeSpecialty
2901601488MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ogemaw Family Dentistry PLLC CurrentSince Apr 21, 2024 Accepting new patients
Mark Lewandowski DDS PC General Practice PastSince Jul 1, 2022 Accepting new patients

Locations

203 N 5th St
West Branch, MI 48661
Phone (989) 312-3110

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1881328763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LAKE ST",
            "city": "ROSCOMMON",
            "state": "MI",
            "postal_code": "486537697",
            "telephone_number": "989-275-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 LAKE ST",
            "city": "ROSCOMMON",
            "state": "MI",
            "postal_code": "486537697",
            "telephone_number": "989-275-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHELDER",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BACHELDER",
            "middle_name": "MARGARET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roscommon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.