Brian Matthew G. Michel, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1001703 Issued in WI

Practice address

2626 W 9TH Ave
Oshkosh, WI 54904-8127

Phone

(920) 231-4922

NPI assigned

May 3, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Sawyer Creek Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oshkosh, WI
  • NPI 1508939265
  NPD (past)

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

{
    "created_epoch": "1430611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1205213899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S OLDE ONEIDA ST APT 105",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112509",
            "telephone_number": "414-828-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 W 9TH AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048127",
            "telephone_number": "920-231-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "BRIAN",
        "middle_name": "MATTHEW G.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-03",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "1001703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William James Meyer, RPH
• Amy Sue Meyers, RN RCS
• Colleen K Micele, FNP
• Erica E Micele, LCSW
• Gladys Beth Michaelson, APNP
• Justin Ryan Mielke
• Megan Lorraine Mielke, PHARMD
• Jennifer L Miller, MSSW, APSW
• Kathryn A Miller, APNP
• Mary J Miller, NP

• Orthodontics and Dentofacial Orthopedics Dentistry in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.