Stephen Dufort Michel, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1952 Issued in SC

Practice address

924 Tall Pine Rd
Mt Pleasant, SC 29464-2910

Phone

(843) 884-4486

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

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 SC

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

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982612404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 TALL PINE RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294642910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 TALL PINE RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294642910",
            "telephone_number": "843-884-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "STEPHEN",
        "middle_name": "DUFORT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "1952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael H Pierce DDS PA
• Michael Lewis LLC
• Christopher Michael Michaelis, D.O.
• Jennifer Michaels, PRE-LCP
• Melissa Tarte Michel, LPC
• Becky Miggenburg, DPT
• Emily Signe Mika Nemeth, M.D.
• Michael Mikola, MD
• Jennifer Lee Mikoll, PA-C
• Katelyn Paige Miles, OTR/L

• Dentist in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.