Active NPI
Michael D. Hoang
- General Practice Dentistry
- West Melbourne, FL
National Provider Identifier
1952830580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22679
- Practice address
- 249 Palm Bay Rd NE
West Melbourne, FL 32904-8602 - Phone
- (321) 482-5220
- NPI assigned
- Jun 7, 2017
- Last updated
- Jun 8, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 22679 | FL | Primary |
Addresses
Primary practice location
249 Palm Bay Rd NE
West Melbourne, FL 32904-8602
Mailing address
750 Pembroke Ave NE
Palm Bay, FL 32907-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210325000035 | FL | Order and Referring Only - Dentist | 1052728755 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22679 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Smiles PLLC | General Practice | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496880000000",
"number": "1952830580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 PEMBROKE AVE NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329071616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 PALM BAY RD NE",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329048602",
"telephone_number": "321-482-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOANG",
"first_name": "MICHAEL",
"middle_name": "D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-07",
"last_updated": "2017-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "22679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Melbourne, FL
- Kaylee Henderson
- Natajia Monay Henry
- Diana Catalina Hernandez, O.D.
- Amanda Herndon
- Tatianah Angela Valerie Hinds
- Kiara Hodge, APRN, FNP-BC
- Holiday CVS LLC (CVS Pharmacy #17571)
- Holmes Regional Enterprises, Inc. (Health First Medical Equipment)
- Mary Elizabeth Hopping, PTA
- Hospice of Health First Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.