Michael Jae Hom, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6096 Issued in WI

Practice address

2925 Post Rd
Stevens Point, WI 54481-6455

Phone

(715) 341-1212

NPI assigned

Aug 18, 2006

Last updated

Apr 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

State licenses

Practice roles

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.

• Hom Family Dentistry., S.C.

  • Dentist
  • Stevens Point, WI
  • NPI 1578666798
  NPD (past) Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1962516054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 POST RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544816455",
            "telephone_number": "715-341-1212",
            "fax_number": "715-341-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 POST RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544816455",
            "telephone_number": "715-341-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOM",
        "first_name": "MICHAEL",
        "middle_name": "JAE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12235",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl A Holmes, MSW
• David A Holz, MD
• Elise Rachelle Holzberger, PA-C
• Hom Family Dentistry., S.C.
• James David Hom, D.D.S.
• Bruce A Homa, MD
• Homegrown Nutrition LLC
• Amy Marie Hopp, PHARMD
• Alexis Hoppe
• Lynn Sue Houlihan, CSAC

• General Practice Dentistry in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.