Active NPI
Michael Deek
- Dentist
- Crown Point, IN
National Provider Identifier
1972345809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12014467A
- Practice address
- 700 N Main St
Crown Point, IN 46307-3236 - Phone
- (219) 663-2576
- NPI assigned
- Jun 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019035133 | IL | |
| Dentist | 122300000X | 12014467A | IN | Primary |
Addresses
Primary practice location
700 N Main St
Crown Point, IN 46307-3236
Mailing address
1347 W Fillmore St Apt 3
Chicago, IL 60607-4924
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 |
|---|---|---|---|
| 019035133 | IL | MD | Dentist |
| 12014467A | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742601600000",
"number": "1972345809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1347 W FILLMORE ST APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N MAIN ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463073236",
"telephone_number": "219-663-2576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEK",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-11",
"last_updated": "2025-03-22",
"certification_date": "2025-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019035133",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12014467A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.