Michael Forman, D.M.D. , M.D

ActiveIndividual ProviderDentistry
NPI issued: March 22, 2016

Quick Facts

NPI Number
1043672967
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223S0112X — Dentistry
Phone
(203) 661-5858
StateCT

NPI Validation Status: Verified

Valid 10-digit NPI number (1043672967)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (March 22, 2016)
Data source: CMS NPPES

Provider Overview

MICHAEL FORMAN, D.M.D. , M.D is a Dentistry provider based in Greenwich, CT who has been registered with CMS since 2016. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1043672967
Provider TypeIndividual Provider
GenderMale
CredentialD.M.D. , M.D
StatusActive
Enumeration DateMarch 22, 2016

Practice Location

CityGreenwich
StateCT
ZIP Code06830-5675
Phone(203) 661-5858

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223S0112X
License StateCT

Mailing Address

CityGreenwich
StateCT
ZIP Code06830-5675
Phone(203) 661-5858
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1043672967 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1043672967for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1043672967 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
12,064
Dentistry Providers in the US

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People Also Ask

What is Michael Forman's NPI number?
Michael Forman's NPI number is 1043672967, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Michael Forman's NPI currently active?
Yes, Michael Forman's NPI status is Active as of the latest CMS NPPES database updates.
What does Michael Forman specialize in?
Michael Forman specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223S0112X.
Where does Michael Forman practice?
Michael Forman practices in Greenwich, CT 06830-5675.
When was Michael Forman's NPI issued?
Michael Forman's NPI was issued on March 22, 2016.
What is Michael Forman's provider type?
Michael Forman is registered as an Individual Provider under CMS NPI Type 1.