Individual provider Active NPI

Ronald Martella, DDS

  • General Practice Dentistry
  • Ferndale, MI
National Provider Identifier
1649231663
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12200 Issued in MI
Practice address
2241 Hilton Rd
Suite #1
Ferndale, MI 48220-1459
Phone
(248) 545-6400
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12200 MI Primary

Addresses

Primary practice location

2241 Hilton Rd
Suite #1
Ferndale, MI 48220-1459

Mailing address

23703 Old Orchard TRL
Bingham Farms, MI 48025-3446
Phone (248) 647-7291

Other identifiers 3

IdentifierTypeStateIssuer
72795OtherMICONCORDIA PPO
0005911-167OtherMIAETNA PPO
1837608MedicaidMI

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
I20150918000047 MI Order and Referring Only - DentistPractitioner - Dentist 3274840525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12200MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ferndale Dental PastSince Oct 9, 2022 Accepting new patients
Ronald Martella DDS PLC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649231663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23703 OLD ORCHARD TRL",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480253446",
            "telephone_number": "248-647-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 HILTON RD",
            "address_2": "SUITE #1",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201459",
            "telephone_number": "248-545-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELLA",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONCORDIA  PPO",
            "identifier": "72795",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "0005911-167",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1837608",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.