Individual provider Active NPI

Daniel D Rangel, DDS MDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grand Blanc, MI
National Provider Identifier
1730283441
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
25934 Issued in TX
Practice address
500 Perry Rd
Ste 201
Grand Blanc, MI 48439-1421
Phone
(810) 695-8601
Fax
(810) 695-0324
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 015977 MI
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 25934 TX Primary

Addresses

Primary practice location

500 Perry Rd
Ste 201
Grand Blanc, MI 48439-1421

Mailing address

500 Perry Rd
Ste 201
Grand Blanc, MI 48439-1421
Phone (810) 695-8601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240108000016 TX Order and Referring Only - DentistPractitioner - Dentist 2264883966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015977MIMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1730283441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PERRY RD",
            "address_2": "STE 201",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391421",
            "telephone_number": "810-695-8601",
            "fax_number": "810-695-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PERRY RD",
            "address_2": "STE 201",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391421",
            "telephone_number": "810-695-8601",
            "fax_number": "810-695-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGEL",
        "first_name": "DANIEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "015977",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "25934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.