Individual provider Active NPI

Matthew John Vertin, DDS

  • General Practice Dentistry
  • Dearborn Heights, MI
National Provider Identifier
1891856613
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15454 Issued in MI
Practice address
8283 N Telegraph Rd
Dearborn Heights, MI 48127-1491
Phone
(313) 562-7212
Fax
(313) 561-3030
NPI assigned
Dec 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 15454 MI Primary

Addresses

Primary practice location

8283 N Telegraph Rd
Dearborn Heights, MI 48127-1491

Mailing address

8283 N Telegraph Rd
Dearborn Heights, MI 48127-1491
Phone (313) 562-7212

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
I20150723008776 MI Practitioner - Oral Surgery 9032422787 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15454MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Sleep Network, P.C. CurrentSince Jul 1, 2015 Accepting new patients
Michigan Sleep Network PC CurrentSince Jul 1, 2015 Accepting new patients
Matthew J. Vertin DDS,PC Past Accepting new patients

Locations

8283 N Telegraph Rd
Dearborn Heights, MI 48127
Phone (313) 562-7212

555 Midtowne St NE
Ste 104B
Grand Rapids, MI 49503
Phone (616) 784-0274

Organizations & group practices 3

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891856613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8283 N TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271491",
            "telephone_number": "313-562-7212",
            "fax_number": "313-561-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 N TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271491",
            "telephone_number": "313-562-7212",
            "fax_number": "313-561-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERTIN",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.