Individual provider Active NPI

Michelle Lynne Piper, D.D.S.

  • General Practice Dentistry
  • N Muskegon, MI
National Provider Identifier
1982632436
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017377 Issued in MI
Practice address
1810 Ruddiman Dr
A
N Muskegon, MI 49445-3172
Phone
(231) 744-8000
Fax
(231) 744-8686
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901017377 MI Primary

Addresses

Primary practice location

1810 Ruddiman Dr
A
N Muskegon, MI 49445-3172

Mailing address

1810 Ruddiman Dr
A
N Muskegon, MI 49445-3172
Phone (231) 744-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20160222000126 MI Order and Referring Only - DentistPractitioner - Dentist 4789642729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901017377MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1982632436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 RUDDIMAN DR",
            "address_2": "A",
            "city": "N MUSKEGON",
            "state": "MI",
            "postal_code": "494453172",
            "telephone_number": "231-744-8000",
            "fax_number": "231-744-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 RUDDIMAN DR",
            "address_2": "A",
            "city": "N MUSKEGON",
            "state": "MI",
            "postal_code": "494453172",
            "telephone_number": "231-744-8000",
            "fax_number": "231-744-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPER",
        "first_name": "MICHELLE",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Muskegon, MI

Sources for this page

Verify at the official NPI Registry.