Regents of the University of Michigan Oral Pathology

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

REGENTS OF THE UNIVERSITY OF MICHIGAN ORAL PATHOLOGY

Practice address

1011 N University Ave
Ann Arbor, MI 48109-1078

Phone

(734) 764-1543

Fax

(734) 764-2469

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Nisha J. D'Silva, DDS PHSNPI 1578687315

Title

Laboratory Director

Phone

(734) 764-1543

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Regents of the University of Michigan Oral Pathology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Regents of the University of Michigan Oral Pathology

  • Oral and Maxillofacial Pathology Dentistry
  • Ann Arbor, MI
  • NPI 1285889709
  NPD tax ID

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nisha J D'Silva, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Ann Arbor, MI
  • NPI 1578687315

  Dentist, MI

  Medicare reassignment Care Compare group NPD Authorized official
• Theodora E Danciu, DMD, DMSC

  • Oral and Maxillofacial Pathology Dentistry
  • Ann Arbor, MI
  • NPI 1184861080

  Dentist, MI

  Medicare reassignment Care Compare group NPD
• Felipe Nor, DDS, MS, PHD

  • Oral and Maxillofacial Pathology Dentistry
  • Ann Arbor, MI
  • NPI 1083385629

  Dentist, MI

  Medicare reassignment Care Compare group NPD
• Peter J Polverini, DDS, DMSC

  • Oral and Maxillofacial Pathology Dentistry
  • Ann Arbor, MI
  • NPI 1699808857

  Dentist, MI

  Medicare reassignment Care Compare group NPD
• Margarita Stanislavovna Katser, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Pittsburgh, PA
  • NPI 1235690405

  Dentist, MI

  Medicare reassignment NPD
• Yu Leo Lei, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Houston, TX
  • NPI 1235501768

  Dentist, MI

  Medicare reassignment NPD
• Kitrina G Cordell, DDS MS

  • Oral and Maxillofacial Pathology Dentistry
  • New Orleans, LA
  • NPI 1558494559

  Dentist

  NPD (past)
• Paul C. Edwards, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Indianapolis, IN
  • NPI 1356334072

  Dentist

  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1083739262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 PLYMOUTH RD",
            "address_2": "BUILDING 3 SUITE 2400",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092789",
            "telephone_number": "734-647-8091",
            "fax_number": "734-647-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N UNIVERSITY AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481091078",
            "telephone_number": "734-764-1543",
            "fax_number": "734-764-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF MICHIGAN ORAL PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "D'SILVA",
        "authorized_official_first_name": "NISHA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "734-764-1543",
        "authorized_official_credential": "DDS PHS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH",
            "identifier": "027740",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI MED SURGICAL",
            "identifier": "190H110650",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "DD81014",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MI",
            "identifier": "XX20091",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE OF MI",
            "identifier": "QMXPR0013422",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regents of the University of Michigan Center for the Child and Family
• Regents of the University of Michigan Dental Faculty Associates
• Regents of the University of Michigan Dental Faculty Associates
• Regents of the University of Michigan Dental Faculty Associates
• Regents of the University of Michigan Mworks
• Regents of the University of Michigan Oral Pathology
• Regents of the University of Michigan Pediatric Surgery Offsite
• Regents of the University of Michigan School of Dentistry
• Regents of the University of Michigan School of Dentistry
• Regents of the University of Michigan-Psychological Clinic

• Oral and Maxillofacial Pathology Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Oral and Maxillofacial Pathology Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.