DR. BRENT MICHAEL HAZLEWOOD DDS
NPI 1851709331
Dentist - Endodontics in Holland, MI

Q: What is Brent Hazlewood's NPI number?

The NPI number for Brent Hazlewood is 1851709331. It was assigned to this individual provider in the NPPES registry on July 28, 2014.

Q: What is Brent Hazlewood's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brent Hazlewood was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 28, 2014PECOS Enrolled

12662 RILEY ST STE 130, HOLLAND, MI 49424(616) 399-6811(616) 399-6812 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2022, Aug 9, 2022, Jul 13, 2021 and 1 more (4 updates tracked since 2019).

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About Dr. Brent Michael Hazlewood Dds NPPES

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

DR. BRENT MICHAEL HAZLEWOOD DDS (NPI 1851709331) is an individual endodontics provider in Holland, Michigan, licensed in Michigan (2901021193) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851709331

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. BRENT MICHAEL HAZLEWOODCredential: DDS

Location Address12662 RILEY ST STE 130Holland, MI 49424-8023

Mailing Address12662 Riley St Ste 130Holland, MI 49424-8023 · (616) 399-6811 · Fax (616) 399-6812

Phone(616) 399-6811

Fax(616) 399-6812

Sole ProprietorYes

Enumeration DateJuly 28, 2014

Last NPPES UpdateAugust 15, 20224 updates tracked since enumeration

NPPES CertifiedAugust 15, 2022

✔ NPI 1851709331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in MI · 2901021193

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 STE 130, Holland, MI 49424

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

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. Brent Michael Hazlewood 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 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.

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 Brent Hazlewood's NPI number?

The NPI number for Brent Hazlewood is 1851709331. It was assigned to this individual provider in the NPPES registry on July 28, 2014.

Where is Brent Hazlewood located?

Brent Hazlewood practices at 12662 Riley St Ste 130, Holland, MI 49424. The listed phone number is (616) 399-6811.

What is Brent Hazlewood's specialty?

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

Is Brent Hazlewood enrolled in Medicare?

Yes. Brent Hazlewood is registered in the Medicare PECOS enrollment system.

What insurance does Brent Hazlewood accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Michigan and HRI Dental & Vision and 3 other insurers list Brent Hazlewood 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 Brent Hazlewood was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.