Alissa Marie Diltz

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2902021788 Issued in MI

Practice address

1615 Michigan Ave, Baldwin, Mi, USA
Baldwin, MI 49304

Phone

(231) 745-2736

Fax

(231) 745-5050

NPI assigned

Aug 27, 2026

Last updated

Sep 8, 2026By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1962319400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 FULLER AVE APT G301",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072146",
            "telephone_number": "231-745-2736",
            "fax_number": "231-745-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MICHIGAN AVE, BALDWIN, MI, USA",
            "city": "BALDWIN",
            "state": "MI",
            "postal_code": "49304",
            "telephone_number": "231-745-2736",
            "fax_number": "231-745-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILTZ",
        "first_name": "ALISSA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902021788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Baldwin, MI
• Providers in Baldwin, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.