Direnzo Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DIRENZO DENTAL, PLLC

Practice address

2240 S Huron Pkwy
Ann Arbor, MI 48104-5151

Phone

(734) 677-2156

NPI assigned

Aug 5, 2025

Organization subpart

No

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

Authorized official

Name

Kyle DirenzoNPI 1841784832

Title

Owner

Phone

(540) 454-7800

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Direnzo, DMD

  • Dentist
  • Ann Arbor, MI
  • NPI 1841784832
  NPD Authorized official
• Kristin Francine Heckman-Nickodemus, D.D.S.

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1710067350
  NPD (past)
• Shannon Norman-Kotre, DDS

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1073695326
  NPD (past)
• Nader Tawakkol, DDS

  • Dentist
  • Renton, WA
  • NPI 1992234173
  NPD (past)

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1366326936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 S HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 S HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045151",
            "telephone_number": "734-677-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRENZO DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "DIRENZO",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-454-7800"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Dionne
• Leanne Ranae Diparvine
• Albert Raniero Dipiero, MD
• Michael A Dipietro, MD
• Lisa A Diponio, MD
• Kyle Direnzo, DMD
• Mitchell Disharoon, MD
• Roseann Frances Dishman, P.T.
• Carolyn Frances Dishuck, MD
• Justin Distelrath

• Dental Clinic/Center in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.