MICHAEL A SMITH DDS, MS
NPI 1174524243
Dentist - Endodontics in Holland, MI

Active since August 10, 2005PECOS Enrolled
12662 RILEY ST, SUITE #130, HOLLAND, MI 49424(616) 399-6811(616) 399-6812 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael A Smith Dds, Ms NPPES

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

MICHAEL A SMITH DDS, MS (NPI 1174524243) is an individual endodontics provider in Holland, Michigan, licensed in Michigan (2901015630) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174524243
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameMICHAEL A SMITHCredential: DDS, MS
Location Address12662 RILEY ST, SUITE #130Holland, MI 49424-8023
Mailing Address12662 Riley St, Suite #130Holland, MI 49424-8023 · (616) 399-6811 · Fax (616) 399-6812
Fax(616) 399-6812
Sole ProprietorYes
Enumeration DateAugust 10, 2005
Last NPPES UpdateApril 16, 2013
NPI 1174524243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in MI · 2901015630
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
12662 RILEY ST, Holland, MI 49424

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael A Smith Dds, Ms 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 49424 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Dentist
12662 RILEY ST, 110
HOLLAND, MI 49424
Anesthesiology (Pain Medicine)
12662 RILEY ST
HOLLAND, MI 49424
Anesthesiology (Pain Medicine)
12662 RILEY ST, SUITE 120
HOLLAND, MI 49424
Point of Service
12662 RILEY ST, SUITE 130
HOLLAND, MI 49424
Dentist (General Practice)
12662 RILEY ST, SUITE 110
HOLLAND, MI 49424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Smith's NPI number?

The NPI number for Michael Smith is 1174524243. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Michael Smith located?

Michael Smith practices at 12662 Riley St Suite #130, Holland, MI 49424. The listed phone number is (616) 399-6811.

What is Michael Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Michael Smith enrolled in Medicare?

Yes. Michael Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Smith was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.