Michael Thomas Horn, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010001 Issued in WA

Practice address

530 Spring St
Friday Harbor, WA 98250-8057

Phone

(360) 378-4944

Fax

(360) 378-2823

NPI assigned

Dec 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ancora Health, LLC

  dba Ancora Clinics

  • Clinical Social Worker
  • Friday Harbor, WA
  • NPI 1669119574
  NPD (past)
• Michael T. Horn, DDS, PLLC

  dba Friday Harbor Dentistry

  • Dental Clinic/Center
  • Friday Harbor, WA
  • NPI 1265986855
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932267762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982500772",
            "telephone_number": "360-378-4944",
            "fax_number": "360-378-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SPRING ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508057",
            "telephone_number": "360-378-4944",
            "fax_number": "360-378-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Thomas Havel, M.P.T.
• Bonnie Hendrickson, MS
• Steven Hoang
• Kassi Honcoop, LMT
• Jillian Elaine Hopkins
• Aileen Disney Howe, OTR/L
• Aurora Hoyle, FNP-BC
• Island Air, Inc.
• Island Hearing Healthcare, LLC
• Island Wellness Center (Amy C Bienvenu)

• General Practice Dentistry in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.