Individual provider Active NPI

Nicole Rigas Naidoo, DMD

  • General Practice Dentistry
  • Ann Arbor, MI
National Provider Identifier
1558920710
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2951000661 Issued in MI
Practice address
1500 E. Medical Center Drive
Medinn C213, SPC 5831
Ann Arbor, MI 48109-5831
Phone
(734) 936-5950
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2951000661 MI Primary

Addresses

Primary practice location

1500 E. Medical Center Drive
Medinn C213, SPC 5831
Ann Arbor, MI 48109-5831

Mailing address

22201 Moross Rd Ste 155
Detroit, MI 48236-2152
Phone (313) 499-4775

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
I20190729000265 MI Order and Referring Only - DentistPractitioner - Dentist 5890021919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: nicole.naidoo.2@8209.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1558920710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD STE 155",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362152",
            "telephone_number": "313-499-4775",
            "fax_number": "313-499-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E. MEDICAL CENTER DRIVE",
            "address_2": "MEDINN C213, SPC 5831",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095831",
            "telephone_number": "734-936-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDOO",
        "first_name": "NICOLE",
        "middle_name": "RIGAS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2951000661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.