Otsego Family Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OTSEGO FAMILY DENTAL, PLLC

Practice address

338 W Allegan St
Otsego, MI 49078-1012

Phone

(269) 694-2074

NPI assigned

Nov 3, 2025

Last updated

Nov 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan M Himmel, DDSNPI 1518708445

Title

Member

Phone

(269) 364-5137

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Michael Himmel, DDS

  • General Practice Dentistry
  • Otsego, MI
  • NPI 1518708445
  NPD Authorized official
• Aubrey May Deibert, DDS

  • Dentist
  • Otsego, MI
  • NPI 1760043194
  NPD
• Michael J Merda, DDS

  • Dentist
  • Otsego, MI
  • NPI 1942356241

  General Practice

  NPD (past)

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1265301642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 W ALLEGAN ST",
            "city": "OTSEGO",
            "state": "MI",
            "postal_code": "490781012",
            "telephone_number": "269-694-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 W ALLEGAN ST",
            "city": "OTSEGO",
            "state": "MI",
            "postal_code": "490781012",
            "telephone_number": "269-694-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTSEGO FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "HIMMEL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "269-364-5137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora D Nelson, ATC
• New Healthcare PC
• Kaitlin O Oakes
• Harley Renae Oele
• Kaley Langler Orolin, MA, BCBA
• Out of the Valley Therapy Services, PLLC
• Paige Hanley Counseling
• Megan Pathic
• Stephanie Ann Patrick
• Emily Taylor Patterson

• General Practice Dentistry in Otsego, MI
• Providers in Otsego, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.