Organization Active NPI

Ryan D Michelson DDS PLC

  • Dentist
  • Saginaw, MI
National Provider Identifier
1013209634
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019989 Issued in MI
Legal business name
RYAN D MICHELSON DDS PLC
Practice address
65 North Frost Drive
Saginaw, MI 48638
Phone
(989) 799-6220
Fax
(989) 790-1520
NPI assigned
May 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ryan D Michelson, D.D.S.
Title
Member
Phone
(989) 799-6220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901019989 MI Primary

Addresses

Primary practice location

65 North Frost Drive
Saginaw, MI 48638

Mailing address

65 North Frost Drive
Saginaw, MI 48638
Phone (989) 799-6220

National Provider Directory

National Provider Directory

Locations

65 N Frost Dr
Saginaw, MI 48638
Phone (989) 799-6220

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1013209634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NORTH FROST DRIVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48638",
            "telephone_number": "989-799-6220",
            "fax_number": "989-790-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NORTH FROST DRIVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48638",
            "telephone_number": "989-799-6220",
            "fax_number": "989-790-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN D MICHELSON DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "MICHELSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "989-799-6220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.