DAKOSKE HALL
NPI 1629431713
Physician Assistant in Traverse City, MI
NPI Status: Active since April 05, 2016
Contact Information
1010 S GARFIELD AVE
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 346-5216
Fax: (231) 943-2590
- Organization
- Physician Assistant
- Accepts Insurance
- CLIA Number: 23D2157066
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-29-2026
About DAKOSKE HALL
This page provides the complete NPI Profile along with additional information for Dakoske Hall, a primary care provider established in Traverse City, Michigan operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1629431713 assigned on April 2016. The practitioner's primary taxonomy code is 363A00000X with license number 5601005691 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. Dakoske Hall operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Dakoske Hall. The authorized official of this NPI record is Paula Lipinski (Executive Director)
- NPI
- 1629431713
- Provider Legal Name
- ADDICTION TREATMENT SERVICES, INC.
- Other Organization Name
- DAKOSKE HALL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1010 S GARFIELD AVE TRAVERSE CITY, MI 49686
- Location Phone
- (231) 346-5216
- Location Fax
- (231) 943-2590
- Mailing Address
- 1010 S GARFIELD AVE TRAVERSE CITY, MI 49686
- Mailing Phone
- (231) 346-5223
- Mailing Fax
- (231) 943-2590
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-05-2016
- Last Update Date
- 01-14-2025
- Code Navigator
A primary care provider (PCP) like Dakoske Hall sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 441 E State St
Traverse City, MI 49686
(231) 346-5223 - 116 E Eighth St
Traverse City, MI 49684
(231) 346-5216 - 940 E 8th St
Traverse City, MI 49686
(231) 346-5216
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 5601005691
- License State
- MI
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 163W00000X | Nursing Service Providers | Registered Nurse | |
| 4 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 5 | 172A00000X | Other Service Providers | Driver | |
| 6 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | SA0280084 (MI) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze Saver HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite Saver Plus - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple PCP Saver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| SA0280010 | OTHER (01) | MI | SA LICENSE - DAKOSKE |
| SA0280088 | OTHER (01) | MI | SA LICENSE - PHOENIX |
| QMP000005341779 | MEDICAID (05) | MI | |
| SA0280084 | OTHER (01) | MI | SA LICENSE - THE PIER |
| SA0280085 | OTHER (01) | MI | SA LICENSE - OUTPATIENT |
| QMP000005341778 | MEDICAID (05) | MI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D2157066
- Facility Type
- Physician Office
- Certificate Effective Date
- October 30, 2024
- Certificate Expiration Date
- October 29, 2026
- Laboratory Director
- JULIE L. MOORE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dakoske Hall to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1629431713, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TRAVERSE CITY, MI 49686
TRAVERSE CITY, MI 49686
TRAVERSE CITY, MI 49686
TRAVERSE CITY, MI 49686
TRAVERSE CITY, MI 49686
TRAVERSE CITY, MI 49686
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629431713, enumerated as an "organization" on April 05, 2016.
The provider is located at 1010 S GARFIELD AVE TRAVERSE CITY, MI 49686 and the phone number is (231) 346-5216.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
