Ronald N Mizikow DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RONALD N MIZIKOW DDS PC

Practice address

13727 S Huron River Dr
Romulus, MI 48174-3628

Phone

(734) 941-0010

Fax

(734) 941-0010

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ronald N Mizikow, DDSNPI 1518021492

Title

Dentist

Phone

(734) 941-0010

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Nicholas Mizikow, D.D.S.

  • General Practice Dentistry
  • Romulus, MI
  • NPI 1518021492
  NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1609574615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13727 S HURON RIVER DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743628",
            "telephone_number": "734-941-0010",
            "fax_number": "734-941-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13727 S HURON RIVER DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743628",
            "telephone_number": "734-941-0010",
            "fax_number": "734-941-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD N MIZIKOW DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-19",
        "status": "A",
        "authorized_official_last_name": "MIZIKOW",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-941-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Richert, PSYD
• Elizabeth Riddle
• Lindsay Rittersdorf, PT, DPT, CBIS
• Romulus Family Dental, PLLC
• Romulus Rome Evaluation LLC
• Rose M. Ibrahim M.D. PC
• Tyanna Tellice Rutherford
• Sadaf Medical Equipment Inc
• Amit Sagar, M.D.
• April Alana Samples

• Dental Clinic/Center in Romulus, MI
• Providers in Romulus, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.