Derek Ryan Michael, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61431 Issued in KS

Practice address

3316 SE 28TH Terrace
Topeka, KS 66605-2457

Phone

(785) 266-9100

Fax

(785) 328-4729

NPI assigned

Jun 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rutherford-Peterson Dentistry LLC

  • General Practice Dentistry
  • Topeka, KS
  • NPI 1932358488
  NPD
• 47TH Street Dental Center, LLC

  • General Practice Dentistry
  • Kansas City, KS
  • NPI 1396116117
  NPD (past)
• North Carriage Dental PA

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1881280410
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1477047082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 SE 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052457",
            "telephone_number": "785-267-9500",
            "fax_number": "785-328-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 SE 28TH TERRACE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052457",
            "telephone_number": "785-266-9100",
            "fax_number": "785-328-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "DEREK",
        "middle_name": "RYAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS DENTAL LICENSE",
            "identifier": "61431",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Deutscher OD, PA
• Michael E Michel D D S P a
• Michael L. Laccheo, M.D., P.a.
• Michael P Rack DDS PA
• Michael P. Malone OD PA
• Michael E Michel, DDS
• Cassandra Michels, OTD, OTR
• Mid America Health, PA
• Mid Star Lab Inc
• Mid West Treatment and Recovey

• General Practice Dentistry in Topeka, KS
• Providers in Topeka, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.