Individual provider Active NPI

Christine Rene Muzychka, DDS

  • Dentist
  • Metamora, MI
National Provider Identifier
1124176599
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17456 Issued in MI
Practice address
4053 S.Lapeer Rd
Suite B
Metamora, MI 48455
Phone
(810) 678-2244
Fax
(810) 678-3668
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17456 MI Primary

Addresses

Primary practice location

4053 S.Lapeer Rd
Suite B
Metamora, MI 48455

Mailing address

4053 S. Lapeer Rd
Suite B
Metamora, MI 48455
Phone (810) 678-2244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17456MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pyles Family Dentistry PLLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

4053 S Lapeer Rd
Ste B
Metamora, MI 48455
Phone (810) 678-2244

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124176599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4053 S. LAPEER RD",
            "address_2": "SUITE B",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "48455",
            "telephone_number": "810-678-2244",
            "fax_number": "810-678-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 S.LAPEER RD",
            "address_2": "SUITE B",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "48455",
            "telephone_number": "810-678-2244",
            "fax_number": "810-678-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZYCHKA",
        "first_name": "CHRISTINE",
        "middle_name": "RENE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "17456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metamora, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.