Individual provider Active NPI

Rushil Rajiv Dang, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Detroit, MI
National Provider Identifier
1346613312
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
2901601967 Issued in MI
Practice address
2799 W Grand Blvd Ste 3a
Detroit, MI 48202-2608
Phone
(833) 663-7874
NPI assigned
Nov 12, 2015
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1857103 MA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901601967 MI
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 2901601967 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd Ste 3a
Detroit, MI 48202-2608

Mailing address

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (833) 663-7874

Other practice location 1

3033 Washington St
Roxbury, MA 02119-1227
Phone (617) 541-2200

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208002930 MI Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 5991084584 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Boston Univ Goldman School of Dental Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

11900 E 12 Mile Rd
Suite 210
Warren, MI 48093-3490
Phone (248) 936-0067

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 876-2795

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901601967MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Sep 1, 2025 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Sep 1, 2025 Accepting new patients
Henry Ford Semi Medical Group General Practice CurrentSince Sep 1, 2025 Accepting new patients
Henry Ford Health System Oral and Maxillofacial Surgery CurrentSince Nov 15, 2023 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System CurrentSince Nov 15, 2023 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
Henry Ford Health System Past Accepting new patients
Dental Dreams, LLC Past Accepting new patients
Ascension Medical Group Michigan Past Accepting new patients

Locations

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

22201 Moross Rd
Ste 155
Detroit, MI 48236
Phone (313) 499-4775

22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

2799 W Grand Blvd
Ste 3A
Detroit, MI 48202
Phone (313) 916-1841

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

11900 E 12 Mile Rd
Ste 210
Warren, MI 48093
Phone (586) 558-4700

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

Interoperability endpoints

  • Direct secure messaging: rdang941845@direct.hfhs.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1346613312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "833-663-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "833-663-7874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3033 Washington St",
            "address_purpose": "LOCATION",
            "city": "Roxbury",
            "state": "MA",
            "postal_code": "021191227",
            "country_code": "US",
            "telephone_number": "617-541-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANG",
        "first_name": "RUSHIL",
        "middle_name": "RAJIV",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-12",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857103",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901601967",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MI",
            "license": "2901601967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.