Michael Dyriw, DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

10704 Issued in TN

Practice address

7518 Highway 70 S Ste B
Nashville, TN 37221-1847

Phone

(615) 669-2780

Fax

(615) 469-1852

NPI assigned

Jan 17, 2014

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Endodontics of Nolensville PLLC

  dba Elite Endodontics

  • Dental Clinic/Center
  • Nolensville, TN
  • NPI 1366196792
  NPD Authorized official
• Elite Endodontics PLLC

  • Dental Clinic/Center
  • Nashville, TN
  • NPI 1720629025
  NPD Authorized official

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1063834505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7518 HIGHWAY 70 S STE B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372211847",
            "telephone_number": "615-669-2780",
            "fax_number": "615-469-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7518 HIGHWAY 70 S STE B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372211847",
            "telephone_number": "615-669-2780",
            "fax_number": "615-469-1852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7186 Nolensville Rd",
            "address_purpose": "LOCATION",
            "city": "Nolensville",
            "state": "TN",
            "postal_code": "371359472",
            "country_code": "US",
            "telephone_number": "615-669-5485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYRIW",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-17",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7176-15",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "10704",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "9954",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE 60730973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sue Dyer, NP
• Kimberly Nicole Dyer, B.A.
• Sheila Dyer, CRNA
• Marissa Lynn Dyling, PTA
• Dynamic Care, LLC
• Lance Dyson
• Mikayla Dyson, BCBA
• Timothy Dzialo
• Mark Dziuba
• Michael Mtile Dzombo, MD

• Endodontics in Nashville, TN
• Providers in Nashville, TN by specialty
• Endodontics in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.