Organization Active NPI

Derek R. Nykiel DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Bingham Farms, MI
National Provider Identifier
1528413812
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901020214 Issued in MI
Legal business name
DEREK R. NYKIEL DDS PC
Practice address
31100 Telegraph Rd
Suite 100
Bingham Farms, MI 48025-4363
Phone
(248) 642-2115
Fax
(248) 642-6387
NPI assigned
Apr 25, 2016
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Dr. Derek R Nykiel, DDS MDNPI 1982918991
Title
Owner
Phone
(248) 642-2115

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 Surgery (Dentist) 1223S0112X 2901020214 MI Primary

Addresses

Primary practice location

31100 Telegraph Rd
Suite 100
Bingham Farms, MI 48025-4363

Mailing address

31100 Telegraph Rd Ste 100
Bingham Farms, MI 48025-4364
Phone (248) 642-2115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160728000929 MI Part B Supplier - Clinic/Group Practice 1951694934 Receives reassigned benefits from 1 practitioner
Practice locations: Bingham Farms, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1528413812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31100 TELEGRAPH RD STE 100",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254364",
            "telephone_number": "248-642-2115",
            "fax_number": "248-642-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31100 TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254363",
            "telephone_number": "248-642-2115",
            "fax_number": "248-642-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK R. NYKIEL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "NYKIEL",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-642-2115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901020214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.