Organization Active NPI

CRN Medical Group PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Warren, MI
National Provider Identifier
1548129125
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
CRN MEDICAL GROUP PLLC
Practice address
28295 Schoenherr Rd Ste B
Warren, MI 48088-4300
Phone
(586) 281-5615
Fax
(248) 716-5955
NPI assigned
Jan 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Carlos Antonio Ramriez-Neyra, MD
Title
Physician
Phone
(248) 890-9833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

28295 Schoenherr Rd Ste B
Warren, MI 48088-4300

Mailing address

28295 Schoenherr Rd Ste B
Warren, MI 48088-4300
Phone (586) 281-5615

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260422001447 MI Part B Supplier - Clinic/Group Practice 2668949116 Receives reassigned benefits from 2 practitioners
Practice locations: Warren, 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.

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1548129125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28295 SCHOENHERR RD STE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884300",
            "telephone_number": "586-281-5615",
            "fax_number": "248-716-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28295 SCHOENHERR RD STE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884300",
            "telephone_number": "586-281-5615",
            "fax_number": "248-716-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRN MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "RAMRIEZ-NEYRA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-890-9833",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.