Active NPI
Michael W O'Riordan, D.D.S.,M.S.
- Pediatric Dentistry
- Warren, MI
National Provider Identifier
1689637324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 10466
- Practice address
- 11662 Martin Rd
Warren, MI 48093-4588 - Phone
- (586) 754-6300
- Fax
- (586) 754-6407
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 10466 | MI | Primary |
Addresses
Primary practice location
11662 Martin Rd
Warren, MI 48093-4588
Mailing address
11662 Martin Rd
Warren, MI 48093-4588
Phone (586) 754-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10466 | MI | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1689637324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11662 MARTIN RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480934588",
"telephone_number": "586-754-6300",
"fax_number": "586-754-6407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11662 MARTIN RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480934588",
"telephone_number": "586-754-6300",
"fax_number": "586-754-6407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'RIORDAN",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MI",
"license": "10466",
"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 Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.