DR. THEODORE MARK HEALY DDS
NPI 1114022795
Dentist - General Practice in Lincoln Park, MI

Q: What is Theodore Healy's NPI number?

The NPI number for Theodore Healy is 1114022795. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is Theodore Healy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Healy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2006PECOS Enrolled

1359 CHAMPAIGN, LINCOLN PARK, MI 48146(313) 386-9660(313) 386-5515 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Theodore Mark Healy Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE MARK HEALY DDS (NPI 1114022795) is an individual general practice provider in Lincoln Park, Michigan, licensed in Michigan (9353) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114022795

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. THEODORE MARK HEALYCredential: DDS

Location Address1359 CHAMPAIGNLincoln Park, MI 48146-3303

Mailing Address37956 RhonswoodNorthville, MI 48167-9752 · (248) 474-0937

Phone(313) 386-9660

Fax(313) 386-5515

Sole ProprietorNo

Enumeration DateSeptember 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114022795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 9353

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1359 CHAMPAIGN, Lincoln Park, MI 48146

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Mark Healy Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE DENTAL CLINIC PC

Dentist (General Practice)