Active NPI
Suzann Elizabeth Hallman, D.D.S P.C
- General Practice Dentistry
- Brighton, MI
National Provider Identifier
1881729523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901017493
- Practice address
- 5271 S Old US Highway 23
Brighton, MI 48114-7671 - Phone
- (810) 229-1771
- Fax
- (810) 229-5125
- NPI assigned
- Feb 22, 2007
- Last updated
- Mar 15, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901017493 | MI | Primary |
Addresses
Primary practice location
5271 S Old US Highway 23
Brighton, MI 48114-7671
Mailing address
5271 S Old US Highway 23
Brighton, MI 48114-7671
Phone (810) 229-1771
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 |
|---|---|---|---|---|
| I20161011001913 | MI | Order and Referring Only - Dentist | 1557659356 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Suzann Hallman D.D.S P.C. | Current | Accepting new patients |
Locations
5271 S Old US Highway 23
Brighton, MI 48114
Phone (810) 229-1771
Organizations & group practices 1
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": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1881729523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5271 S OLD US HIGHWAY 23",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481147671",
"telephone_number": "810-229-1771",
"fax_number": "810-229-5125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5271 S OLD US HIGHWAY 23",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481147671",
"telephone_number": "810-229-1771",
"fax_number": "810-229-5125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLMAN",
"first_name": "SUZANN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "D.D.S P.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901017493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.