Michelle Devaull Pinkerton, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019020164 Issued in IL

Practice address

1600 Westchester Blvd
Westchester, IL 60154

Phone

(708) 865-1484

Fax

(708) 865-1551

NPI assigned

Mar 26, 2007

Last updated

Mar 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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 IL

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

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.

• Michelle Devaull Pinkerton DDS PC

  • Dentist
  • Westchester, IL
  • NPI 1659364081
  Authorized official Same address or phone

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1942328307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WESTCHESTER BLVD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "708-865-1484",
            "fax_number": "708-865-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WESTCHESTER BLVD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "708-865-1484",
            "fax_number": "708-865-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVAULL PINKERTON",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan R Dekam, DPT
• Susan Demari, M.A. CCC-A
• Amira Demitry, PT, DPT
• Donna Marie Desai, LCPC
• Destiny Healthcare Services, Inc.
• Margaret Joan Devlin
• Colin Ditsworth, DPT
• Heidi Dore
• Samantha Rose Dotson, DNP, FNP-BC
• Dr. Raja Gill SC

• Dentist in Westchester, IL
• Providers in Westchester, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.