Active NPI
Vicki R Michel, D.D.S.
- Dentist
- Jamestown, ND
National Provider Identifier
1982892071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1609
- Practice address
- 1209 5TH Ave SE
Jamestown, ND 58401-5601 - Phone
- (701) 252-0251
- NPI assigned
- Oct 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1609 | ND | Primary |
Addresses
Primary practice location
1209 5TH Ave SE
Jamestown, ND 58401-5601
Mailing address
1209 5TH Ave SE
Jamestown, ND 58401-5601
Phone (701) 252-0251
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40713 | Medicaid | ND | |
| 901609 | Other | ND | DENTAL SERVICE CORP. |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1609 | ND | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1982892071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 5TH AVE SE",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584015601",
"telephone_number": "701-252-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 5TH AVE SE",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584015601",
"telephone_number": "701-252-0251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEL",
"first_name": "VICKI",
"middle_name": "R",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-15",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ND",
"license": "1609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40713",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL SERVICE CORP.",
"identifier": "901609",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.