Shadows Oye Bedell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901012360 Issued in MI

Practice address

19600 Van Dyke Street
Detroit, MI 48234-3328

Phone

(313) 892-9100

Fax

(313) 892-0204

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

State licenses

Practice roles

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

• Shadows O.Bedell DDS.P.C.

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1427247758
  NPD (past) Authorized official

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083663702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19600 VAN DYKE STREET",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343328",
            "telephone_number": "313-892-9100",
            "fax_number": "313-892-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19600 VAN DYKE STREET",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343328",
            "telephone_number": "313-892-9100",
            "fax_number": "313-892-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDELL",
        "first_name": "SHADOWS",
        "middle_name": "OYE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1240515450372",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1242908490512",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Virna Puertillano Bedayo, RN
• Dene Bedayo
• Patrick Bedayo
• Sheryl Bedayo
• Darryl Jermaine Bedell
• Danishi Kaur Bedi
• Gurbani Kaur Bedi
• Mannat Kaur Bedi
• Callie Bednarek
• Donna Bednarski, CNP

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.