Individual provider Active NPI

Douglas David Orzel, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Caledonia, MI
National Provider Identifier
1528446069
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901022934 Issued in MI
Practice address
9021 N Rodgers CT SE Ste a
Caledonia, MI 49316-7650
Phone
(616) 891-1700
NPI assigned
May 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X RES-30429 IA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901022934 MI Primary

Addresses

Primary practice location

9021 N Rodgers CT SE Ste a
Caledonia, MI 49316-7650

Mailing address

9021 N Rodgers CT SE Ste a
Caledonia, MI 49316-7650
Phone (616) 891-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20150708002665 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3375855018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RES-30429IAMDOral and Maxillofacial Surgery (Dentist)
2901022934MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral & Maxillofacial Surgery of Greater Grand Rapids LLC Oral and Maxillofacial Surgery PastSince Jan 12, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1528446069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9021 N RODGERS CT SE STE A",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167650",
            "telephone_number": "616-891-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9021 N RODGERS CT SE STE A",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167650",
            "telephone_number": "616-891-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORZEL",
        "first_name": "DOUGLAS",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-17",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IA",
            "license": "RES-30429",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901022934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

Verify at the official NPI Registry.