Individual provider Active NPI

Michael J Dionise, DDS

  • Dentist
  • Lansing, MI
National Provider Identifier
1790760254
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
014561 Issued in MI
Practice address
610 S Grand Ave
Lansing, MI 48933-2407
Phone
(517) 484-8910
Fax
(517) 482-2128
NPI assigned
Dec 7, 2005
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
Dentist 122300000X 014561 MI Primary

Addresses

Primary practice location

610 S Grand Ave
Lansing, MI 48933-2407

Mailing address

610 S Grand Ave
Lansing, MI 48933-2407
Phone (517) 484-8910

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
014561MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dionise Dental Dentist PastSince Feb 8, 2023 Accepting new patients
Michael J. Dionise, DDS., PC PastSince Aug 6, 2019 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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790760254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S GRAND AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489332407",
            "telephone_number": "517-484-8910",
            "fax_number": "517-482-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S GRAND AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489332407",
            "telephone_number": "517-484-8910",
            "fax_number": "517-482-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONISE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "014561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.