DR. MICHAEL RICHARD HIGGINBOTHAM (NPI# 1346505542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346505542 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RICHARD HIGGINBOTHAM |
| Credential | DDS, MD |
| Practice Address |
25916 Dequindre Rd Warren MI 48091-6112 |
| Practice Telephone | 5867552770 |
| Practice Fax Number | 5867551690 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2016-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2901019840 | MI | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2901019840 | MI | Dental Providers |
| N | 208600000X | Surgery | 4301101198 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538603618 | Michael Peter Higginbotham II | Counselor | 233 Ne B St Ste 201, Grants Pass, OR 97526-2108 | 2016-12-08 |
| 1194050906 | Michael Higginbotham | Social Worker | 11582 Tivoli Ln, Saint Louis, MO 63146-3500 | 2009-10-13 |
| 1720296395 | Michael Higginbotham | Social Worker | 302 Blueberry Ct, Marlton, NJ 08053-1015 | 2007-05-18 |
| 1508984188 | Michael T Higginbotham | Dentist | 3710 E. Main, Suite K, Blytheville, AR 72315 | 2007-03-26 |
| 1619992377 | Michael S Higginbotham | Family Medicine | 1002 Schneider Dr Ste 104, Malvern, AR 72104-4823 | 2006-07-13 |
| 1174084990 | Michael Higginbotham | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2019-03-26 |
| 1336188150 | Michael B Higginbotham | Internal Medicine | 2301 House Ave, Cheyenne, WY 82001-3176 | 2006-06-06 |
| Street Address |
25916 DEQUINDRE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48091-6112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366442212 | Steven M. Wolf | Dentist | 25916 Dequindre Rd, Warren, MI 48091-6112 | 2005-07-21 |
| 1285898536 | Zaid W Abu-seir | Dentist | 25916 Dequindre Rd, Suite B, Warren, MI 48091-6112 | 2008-07-16 |
| 1598765604 | Robert C. John | Dentist | 25916 Dequindre Rd, Warren, MI 48091-6112 | 2005-07-29 |
| 1801896923 | Steven Wolf, Dds, PC | Dentist | 25916 Dequindre Rd, Warren, MI 48091-6112 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| Find all providers in zip 48091 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740624121 | Prakhar Mehrotra | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 | 2013-04-29 |
| 1770848129 | Bradley Dental | Dentist | 21635 Ryan Rd, Warren, MI 48091-2788 | 2012-07-11 |
| 1912017336 | Michael B. Krzemien | Dentist | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2006-08-30 |
| 1790730406 | John Mason Hackenberger | Dentist | 29427 Ryan Rd, Warren, MI 48092-2203 | 2006-05-23 |
| 1033163886 | Terry B Philibin | Dentist | 405 Niles Cortland Rd Se, Suite #101, Warren, OH 44484-2460 | 2006-05-19 |
| 1124089545 | Jeffrey Richard Mcclain | Dentist | 8893 E Market St, Warren, OH 44484-2351 | 2006-03-28 |
| 1366442212 | Steven M. Wolf | Dentist | 25916 Dequindre Rd, Warren, MI 48091-6112 | 2005-07-21 |
| 1750766358 | Taneenop Aramphongphan | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059-2655 | 2015-07-23 |
| 1376923623 | Mark Grinzinger | Dentist | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2015-06-02 |
| 1720341886 | Arshi Lehal | Dentist | 29427 Ryan Rd, Warren, MI 48092 | 2012-06-22 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.