Individual provider Active NPI

..Chris Narvello St Hillaire, D.D.S

  • Dentist
  • Niles, MI
National Provider Identifier
1982965935
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020217 Issued in MI
Practice address
123 Marmont St
Niles, MI 49120-1657
Phone
(269) 683-6461
NPI assigned
Jun 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020217 MI Primary

Addresses

Primary practice location

123 Marmont St
Niles, MI 49120-1657

Mailing address

8695 Meadow LN
Berrien Springs, MI 49103-1426
Phone (269) 815-3076

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

LicenseStateTypeSpecialty
2901020217MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Periza Zaninovic DDS PC PastSince Mar 20, 2022 Accepting new patients
Richard L. Beckermeyer, D. D. S., P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1982965935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 MEADOW LN",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031426",
            "telephone_number": "269-815-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MARMONT ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491201657",
            "telephone_number": "269-683-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST HILLAIRE",
        "first_name": "..CHRIS",
        "middle_name": "NARVELLO",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.