Individual provider Active NPI

Caius Coretchi, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Southgate, MI
National Provider Identifier
1386105070
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901600577 Issued in MI
Practice address
14600 Pennsylvania Rd
Southgate, MI 48195-2167
Phone
(734) 675-1520
Fax
(734) 571-6671
NPI assigned
Mar 26, 2019
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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 2901600577 MI Primary

Addresses

Primary practice location

14600 Pennsylvania Rd
Southgate, MI 48195-2167

Mailing address

14600 Pennsylvania Rd
Southgate, MI 48195-2167
Phone (734) 675-1520

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
I20200804002822 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1557786894

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2901600577MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Dexter K Flemming DDS Ms PC PastSince Sep 1, 2009 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: caius.coretchi.2@8209.direct.athenahealth.com

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1386105070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 PENNSYLVANIA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952167",
            "telephone_number": "734-675-1520",
            "fax_number": "734-571-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 PENNSYLVANIA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952167",
            "telephone_number": "734-675-1520",
            "fax_number": "734-571-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORETCHI",
        "first_name": "CAIUS",
        "credential": "MD, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901600577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.