NPIMap

Organization Active NPI

Oral and Maxillofacial Surgery Associates of Michigan, P.C.

  • Oral and Maxillofacial Pathology Dentistry
  • Farmington Hills, MI
National Provider Identifier
1235273152
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
Legal business name
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES OF MICHIGAN, P.C.
Practice address
32905 W 12 Mile Rd Ste 200
Farmington Hills, MI 48334-3344
Phone
(248) 553-3280
Fax
(248) 553-2913
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
William J Ruskin, D.D.S.
Title
President
Phone
(248) 553-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X Primary

Addresses

Primary practice location

32905 W 12 Mile Rd Ste 200
Farmington Hills, MI 48334-3344

Mailing address

32905 W 12 Mile Rd Ste 200
Farmington Hills, MI 48334-3344
Phone (248) 553-3280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050816000085 MI Part B Supplier - Clinic/Group Practice 6709816259 Receives reassigned benefits from 2 practitioners
Practice locations: Brighton, MI; Canton, MI; Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

7927 Nemco Way
Ste 110
Brighton, MI 48116
Phone (810) 229-9600

42287 Cherry Hill Rd
Ste C
Canton, MI 48188
Phone (734) 656-2500

32905 W 12 Mile Rd
Ste 200
Farmington Hills, MI 48334
Phone (248) 553-3280

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1235273152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343344",
            "telephone_number": "248-553-3280",
            "fax_number": "248-553-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343344",
            "telephone_number": "248-553-3280",
            "fax_number": "248-553-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES OF MICHIGAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "RUSKIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-553-3280",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.