Active NPI
Stephanie Michele McMall, DDS
- General Practice Dentistry
- Saginaw, MI
National Provider Identifier
1932637600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901022256
- Practice address
- 2061 Passolt St
Saginaw, MI 48603-4016 - Phone
- (989) 797-1997
- NPI assigned
- May 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901022256 | MI | Primary |
Addresses
Primary practice location
2061 Passolt St
Saginaw, MI 48603-4016
Mailing address
2061 Passolt St
Saginaw, MI 48603-4016
Phone (989) 797-1997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022256 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1932637600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2061 PASSOLT ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486034016",
"telephone_number": "989-797-1997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2061 PASSOLT ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486034016",
"telephone_number": "989-797-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMALL",
"first_name": "STEPHANIE",
"middle_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-25",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901022256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.