Organization Active NPI

Michael E Michel D D S P a

  • General Practice Dentistry
  • Topeka, KS
National Provider Identifier
1710109418
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5752 Issued in KS
Legal business name
MICHAEL E MICHEL D D S P A
Practice address
3033 SW Villa West Dr Ste B
Topeka, KS 66614-4488
Phone
(785) 273-0801
Fax
(785) 273-7350
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Dr. Michael E Michel, DDSNPI 1255321378
Title
Owner
Phone
(785) 273-0801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5752 KS Primary

Addresses

Primary practice location

3033 SW Villa West Dr Ste B
Topeka, KS 66614-4488

Mailing address

3033 SW Villa West Dr Ste B
Topeka, KS 66614-4488
Phone (785) 273-0801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140314000065 KS DME Supplier - Oral Surgery - Dentist 7113157108 Practice locations: Topeka, KS

National Provider Directory

National Provider Directory

Locations

2951 SW Wanamaker Dr
Ste B
Topeka, KS 66614
Phone (785) 273-0801

Practitioners & affiliated clinicians

Practitioners 3

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1710109418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 SW VILLA WEST DR STE B",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144488",
            "telephone_number": "785-273-0801",
            "fax_number": "785-273-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 SW VILLA WEST DR STE B",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144488",
            "telephone_number": "785-273-0801",
            "fax_number": "785-273-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E MICHEL D D S P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-03-30",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-273-0801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.