Michael J. Deporre, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13866 Issued in MI

Legal business name

MICHAEL J. DEPORRE, D.D.S., P.C.

Practice address

2490 Walton Blvd
Suite 202
Rochester Hills, MI 48309-1484

Phone

(248) 656-2244

Fax

(248) 656-0225

NPI assigned

Oct 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Joseph Deporre, D.D.S.

Title

President

Phone

(248) 656-2244

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda B Boltwood, DDS

  • Dentist
  • Rochester Hills, MI
  • NPI 1225231616
  NPD (past)
• Charles H Lewis, D.D.S.

  • General Practice Dentistry
  • Rochester Hills, MI
  • NPI 1952577587
  NPD (past)

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932292216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 WALTON BLVD",
            "address_2": "SUITE 202",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091484",
            "telephone_number": "248-656-2244",
            "fax_number": "248-656-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 WALTON BLVD",
            "address_2": "SUITE 202",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091484",
            "telephone_number": "248-656-2244",
            "fax_number": "248-656-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. DEPORRE, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEPORRE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-656-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4658155",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Meyer, RD
• MHP Pharmacy of Bloomfield Hills LLC (MHP Pharmacy of Bloomfield Hills)
• Mi Healthccare Professionals PC (Rochester Medical Urgent Care)
• Shakila Miah, PHARMD
• Michael D. Weiss, D.O., P.C.
• Michael N Henein MD PC
• Michael N Henein MD PC
• Michael S Salter DPM PC
• Michael Smith MD PC
• Jennifer Michalak

• General Practice Dentistry in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.