Individual provider Active NPI

Holly Ann Scott-Hetchler, D.D.S

  • General Practice Dentistry
  • Lansing, MI
National Provider Identifier
1902930985
Registry record updated Nov 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018509 Issued in MI
Practice address
919 Chester Rd
Lansing, MI 48912-2326
Phone
(517) 487-3333
Fax
(517) 487-2168
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2022

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 2901018509 MI Primary

Addresses

Primary practice location

919 Chester Rd
Lansing, MI 48912-2326

Mailing address

919 Chester Rd
Lansing, MI 48912-2326
Phone (517) 487-3333

Other practice location 1

1801 E Saginaw St
Lansing, MI 48912-2326
Phone (517) 487-6333

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
I20161004000453 MI Order and Referring Only - DentistPractitioner - Dentist 5890743918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Scott-Hetchler, DDS, PC CurrentSince Dec 13, 2022 Accepting new patients

Locations

919 Chester Rd
Lansing, MI 48912
Phone (517) 485-5118

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669420800000",
    "number": "1902930985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CHESTER RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122326",
            "telephone_number": "517-487-3333",
            "fax_number": "517-487-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CHESTER RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122326",
            "telephone_number": "517-487-3333",
            "fax_number": "517-487-2168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 E Saginaw St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489122326",
            "country_code": "US",
            "telephone_number": "517-487-6333",
            "fax_number": "517-487-2168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT-HETCHLER",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-11-26",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.