DR. PAUL JACOB MORTIERE D.D.S.
NPI 1497825103
Dentist in Canton, MI

Q: What is Paul Mortiere's NPI number?

The NPI number for Paul Mortiere is 1497825103. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Q: What is Paul Mortiere's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Mortiere 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 November 09, 2006PECOS Enrolled

5958 N CANTON CENTER RD, SUITE 600, CANTON, MI 48187(734) 459-1950(734) 459-5710 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Paul Jacob Mortiere D.d.s. NPPES

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

DR. PAUL JACOB MORTIERE D.D.S. (NPI 1497825103) is an individual dentist in Canton, Michigan, licensed in Michigan (014875) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497825103

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. PAUL JACOB MORTIERECredential: D.D.S.

Location Address5958 N CANTON CENTER RD, SUITE 600Canton, MI 48187-2765

Mailing Address5958 N Canton Center Rd, Suite 600Canton, MI 48187-2765 · (734) 459-1950 · Fax (734) 459-5710

Phone(734) 459-1950

Fax(734) 459-5710

Sole ProprietorNo

Enumeration DateNovember 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1497825103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 014875

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5958 N CANTON CENTER RD, Canton, MI 48187

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Best Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Jacob Mortiere D.d.s. 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.

Medicare Billing Reassignment

Medicare enrollment records show Paul Mortiere reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mortiere And Gasparotto DDS PC

Same address

General Practice

5958 N CANTON CENTER RD STE 600
Canton, MI 48187

Reassigned Medicare billing, Michigan enrollment
2 clinicians in this Medicare group

NPI 1194813535 (734) 459-1950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48187 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 19

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

RENEE S GLASS LMSW

Social Worker (Clinical)

5958 N CANTON CENTER RD
CANTON, MI 48187

Wayne County (734) 737-1200

PREMIER MEDICINE OF CANTON PC

Family Medicine

5958 N CANTON CENTER RD
CANTON, MI 48187

Wayne County (734) 454-5454

MIGUEL GRANADOS MD

Family Medicine

5958 N CANTON CENTER RD, STE 200
CANTON, MI 48187

Wayne County (734) 667-1648

DR. SHAIMAA BAQAI DDS

Dentist

5958 N CANTON CENTER RD
CANTON, MI 48187

Wayne County (344) 519-5707

DR. MICHAEL L RAMEY PSY.D.

Psychologist (Clinical)

5958 N CANTON CENTER RD, SUITE 900
CANTON, MI 48187

Wayne County (734) 737-1200

MICHELE LYNN SELOVER MA LLP

Psychologist (Counseling)

5958 N CANTON CENTER RD
CANTON, MI 48187

Wayne County (734) 737-1200

DR. JU-HEE MA D.D.S

Dentist

5958 N CANTON CENTER RD, SUITE 400
CANTON, MI 48187

Wayne County (734) 451-9570

CANTON FAMILY MEDICINE AND MEDICAL SPA, PLLC

Clinic/Center (Primary Care)

5958 N CANTON CENTER RD, SUITE 200
CANTON, MI 48187

Wayne County (734) 667-1648

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 Paul Mortiere's NPI number?

The NPI number for Paul Mortiere is 1497825103. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Paul Mortiere located?

Paul Mortiere practices at 5958 N Canton Center Rd Suite 600, Canton, MI 48187. The listed phone number is (734) 459-1950.

What is Paul Mortiere's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Paul Mortiere enrolled in Medicare?

Yes. Paul Mortiere is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Mortiere's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Mortiere reassigns Medicare benefits to Mortiere And Gasparotto DDS PC (Canton, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Mortiere's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Mortiere accept?

Health plans from Anthem Blue Cross and Blue Shield, Best Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Paul Mortiere as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Mortiere 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.