Individual provider Active NPI

Philip D. O'Niel III, D.D.S.

  • General Practice Dentistry
  • Troy, MI
National Provider Identifier
1083671176
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901011105 Issued in MI
Practice address
1579 W Big Beaver Rd
Troy, MI 48084-3504
Phone
(248) 649-2868
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901011105 MI Primary

Addresses

Primary practice location

1579 W Big Beaver Rd
Troy, MI 48084-3504

Mailing address

1579 W Big Beaver Rd
Troy, MI 48084-3504
Phone (248) 649-2868

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160725001587 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2860785169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901011105MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Philip D. O'Niel III, D.D.S., P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083671176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843504",
            "telephone_number": "248-649-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843504",
            "telephone_number": "248-649-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NIEL",
        "first_name": "PHILIP",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.