NPIMap

Organization Active NPI

Cta Oral Pathology Consultants of Michigan, PLLC

Doing business as CTA Oral Pathology

  • Oral and Maxillofacial Pathology Dentistry
  • Ann Arbor, MI
National Provider Identifier
1366244550
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
Legal business name
CTA ORAL PATHOLOGY CONSULTANTS OF MICHIGAN, PLLC
Doing business as
CTA Oral Pathology
CTA Oral Pathology Consultants of Michigan
Practice address
3131 S State St Ste 307
Ann Arbor, MI 48108-1658
Phone
(503) 906-7300
Fax
(503) 245-8219
NPI assigned
Mar 26, 2025
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Brent Accurso, DDSNPI 1174653158
Title
Sole Member
Phone
(734) 709-5326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X NU Primary

Addresses

Primary practice location

3131 S State St Ste 307
Ann Arbor, MI 48108-1658

Mailing address

PO Box 3227
Houston, TX 77253-3227
Phone (503) 906-7300

Other practice location 1

9750 SW Nimbus Ave
Beaverton, OR 97008-7172
Phone (503) 906-7300

Other names 2

  • CTA Oral Pathology Doing business as
  • CTA Oral Pathology Consultants of Michigan Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250729004832 MI Part B Supplier - Clinic/Group Practice 3274040613 Receives reassigned benefits from 2 practitioners
Practice locations: Ann Arbor, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2330951Cta Oral Pathology Consultants of Michigan, PLLC3131 S State Street Suite 307, Ann Arbor, MI 48108ComplianceApr 13, 2028

National Provider Directory

National Provider Directory

Locations

3131 S State St
Ste 307
Ann Arbor, MI 48108

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1366244550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3227",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772533227",
            "telephone_number": "503-906-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S STATE ST STE 307",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081658",
            "telephone_number": "503-906-7300",
            "fax_number": "503-245-8219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9750 SW Nimbus Ave",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970087172",
            "country_code": "US",
            "telephone_number": "503-906-7300",
            "fax_number": "503-245-8219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CTA ORAL PATHOLOGY CONSULTANTS OF MICHIGAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "ACCURSO",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "734-709-5326",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CTA Oral Pathology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CTA Oral Pathology Consultants of Michigan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CTA Oral Pathology Consultants of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.