Nicolette Diane Essian, DMD

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

2901600558 Issued in MI

Practice address

29427 Ryan Rd
Warren, MI 48092-2203

Phone

(586) 755-9340

Fax

(586) 755-1081

NPI assigned

Jun 21, 2020

Last updated

Sep 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicolette Diane Abate Former name

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

Specialty

Oral and Maxillofacial Pathology

Education

Midwestern University College of Dental Medicine, Downers Grove, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Oral and Maxillofacial Surgery PCGroup PAC ID 5991772287, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Summit Oral & Maxillofacial Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Warren, MI
  • NPI 1811066129
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1184240640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67697 RACHAEL LN",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480951844",
            "telephone_number": "586-914-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29427 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922203",
            "telephone_number": "586-755-9340",
            "fax_number": "586-755-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSIAN",
        "first_name": "NICOLETTE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-21",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MI",
            "license": "2901600558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETTE",
            "last_name": "ABATE",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theresa Ernst-Meyer
• Dominic Ernst, LMT BC MMP
• Shawntia Ervin
• Tina Louise Eshelman, CSW
• Valerie Esho, DDS
• Naiya Estell
• John Estes
• Ethos Behavioral Health
• Ethos Behavioral Health
• Eunice Home of Comfort Inc

• Oral and Maxillofacial Pathology Dentistry in Warren, MI
• Providers in Warren, 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 Sep 13, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.