Active NPI
Ellen Elizabeth O'Niel, DDS
- Dentist
- Troy, MI
National Provider Identifier
1801180336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901020441
- Practice address
- 1579 W Big Beaver Rd Ste B6
Troy, MI 48084-3504 - Phone
- (248) 649-2868
- Fax
- (248) 649-2110
- NPI assigned
- Jun 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901020441 | MI | Primary |
Addresses
Primary practice location
1579 W Big Beaver Rd Ste B6
Troy, MI 48084-3504
Mailing address
1579 W Big Beaver Rd Ste B6
Troy, MI 48084-3504
Phone (248) 649-2868
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160922002046 | MI | Order and Referring Only - Oral Surgery | 3072800721 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1801180336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1579 W BIG BEAVER RD STE B6",
"city": "TROY",
"state": "MI",
"postal_code": "480843504",
"telephone_number": "248-649-2868",
"fax_number": "248-649-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1579 W BIG BEAVER RD STE B6",
"city": "TROY",
"state": "MI",
"postal_code": "480843504",
"telephone_number": "248-649-2868",
"fax_number": "248-649-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NIEL",
"first_name": "ELLEN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-01",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901020441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
- Cynthia Diane O'Flynn, ME.D, ATR-BC, CTS
- Neala Ann O'Hara, TLLP
- Daniel O'Neil, M.A.
- Ann Christine O'Neill, LPC
- Kristen Deanne O'Neill, OTRL, RYT
- Philip D. O'Niel III, D.D.S.
- Oak Counseling & Wellness PLLC
- Oakland Community Health Network
- Oakland Community Health Network
- Oakland Counseling Center PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.