Individual provider Active NPI

Robert Michael Rybicki, DDS, MS

  • Endodontics
  • Novi, MI
National Provider Identifier
1124090055
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
016148 Issued in MI
Practice address
21580 Novi Rd
Suite 250
Novi, MI 48375-5600
Phone
(248) 735-8700
Fax
(248) 735-8733
NPI assigned
Feb 4, 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
Endodontics 1223E0200X 016148 MI Primary

Addresses

Primary practice location

21580 Novi Rd
Suite 250
Novi, MI 48375-5600

Mailing address

21580 Novi Rd
Suite 250
Novi, MI 48375-5604
Phone (248) 735-8700

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150406000515 MI Order and Referring Only - Other (Non-Physician) 0941528863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
016148MIMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M Rybicki DDS, PC Endodontics 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": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124090055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21580 NOVI RD",
            "address_2": "SUITE 250",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755604",
            "telephone_number": "248-735-8700",
            "fax_number": "248-735-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21580 NOVI RD",
            "address_2": "SUITE 250",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755600",
            "telephone_number": "248-735-8700",
            "fax_number": "248-735-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBICKI",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "016148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.