Individual provider Active NPI

Matthew Stephen Pinsky, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Ann Arbor, MI
National Provider Identifier
1316167612
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901019098 Issued in MI
Practice address
3055 Plymouth Rd.
Ann Arbor, MI 48105
Phone
(734) 761-5885
Fax
(734) 761-8221
NPI assigned
Apr 27, 2007
Last updated
Nov 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901019098 MI Primary

Addresses

Primary practice location

3055 Plymouth Rd.
Ann Arbor, MI 48105

Mailing address

9416 South Main
Plymouth, MI 48170
Phone (734) 455-0710

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140428001973 MI Practitioner - Oral Surgery 1759540776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Michigan School of Dentistry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral and Facial Surgeons of Michigan PCGroup PAC ID 4082526132, 5 clinicians

Practice addresses (Care Compare)

11525 Highland Rd
Suite 11
Hartland, MI 48353-2726
Phone (810) 632-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2901019098MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Facial Surgeons of Michigan, PC Oral and Maxillofacial Surgery CurrentSince May 1, 2018 Accepting new patients

Locations

9880 E Grand River Ave
Ste 150
Brighton, MI 48116
Phone (810) 227-2626

11525 Highland Rd
Ste 11
Hartland, MI 48353
Phone (810) 632-4545

11525 Highland Rd
Ste 23
Hartland, MI 48353
Phone (810) 632-0303

4250 Pontiac Lake Rd
Ste B
Waterford, MI 48328
Phone (248) 674-0303

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1316167612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9416 SOUTH MAIN",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48170",
            "telephone_number": "734-455-0710",
            "fax_number": "734-455-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 PLYMOUTH RD.",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-761-5885",
            "fax_number": "734-761-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSKY",
        "first_name": "MATTHEW",
        "middle_name": "STEPHEN",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901019098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.