Individual provider Active NPI

Suzann Elizabeth Hallman, D.D.S P.C

  • General Practice Dentistry
  • Brighton, MI
National Provider Identifier
1881729523
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017493 Issued in MI
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011001913 MI Order and Referring Only - DentistPractitioner - Dentist 1557659356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Suzann Hallman D.D.S P.C. CurrentSince Apr 17, 2022 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

Verify at the official NPI Registry.