Individual provider Active NPI

Michelle Lee Ringwald, DMD

  • Dentist
  • Beverly Hills, CA
National Provider Identifier
1326549445
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS101628 Issued in CA
Practice address
9001 Wilshire Blvd Ste 205
Beverly Hills, CA 90211-1840
Phone
(310) 331-8800
NPI assigned
Feb 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN22148 FL
Dentist 122300000X DDS101628 CA Primary

Addresses

Primary practice location

9001 Wilshire Blvd Ste 205
Beverly Hills, CA 90211-1840

Mailing address

9001 Wilshire Blvd Ste 205
Beverly Hills, CA 90211-1840
Phone (310) 331-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS101628CAMDDentist
DN22148FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Centre PA Dentist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1326549445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD STE 205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111840",
            "telephone_number": "310-331-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD STE 205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111840",
            "telephone_number": "310-331-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINGWALD",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22148",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS101628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.