Michigan Oms P C

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MICHIGAN OMS P C

Practice address

6022 W Maple Rd Ste 405
West Bloomfield, MI 48322-4408

Phone

(248) 855-2006

Fax

(248) 855-0571

NPI assigned

Aug 30, 2006

Last updated

Jan 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas J Bournias, DDSNPI 1144202045

Title

President

Phone

(586) 228-9070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas James Bournias, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Clinton Township, MI
  • NPI 1144202045
  Medicare reassignment Care Compare group NPD Authorized official
• Thomas Richard Bolten, D.D.S., MD

  • Oral and Maxillofacial Surgery (Dentist)
  • West Bloomfield, MI
  • NPI 1053545707
  Medicare reassignment Care Compare group
• Brian Cleland Murphy, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • West Bloomfield, MI
  • NPI 1861674137
  Medicare reassignment Care Compare group
• Jeffrey Stephen Topf, DDS,FACS

  • Oral and Maxillofacial Surgery (Dentist)
  • West Bloomfield, MI
  • NPI 1396727293
  Medicare reassignment
• Aaron Michael Pokorny, D.D.S, M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Rochester Hills, MI
  • NPI 1366589228
  NPD (past)
• Gregg Lawrence Lurcott, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Denver, CO
  • NPI 1821042896
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1801906458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 W MAPLE RD STE 405",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224408",
            "telephone_number": "248-855-2006",
            "fax_number": "248-855-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 W MAPLE RD STE 405",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224408",
            "telephone_number": "248-855-2006",
            "fax_number": "248-855-0571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43900 Garfield Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480381137",
            "country_code": "US",
            "telephone_number": "586-228-9070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHIGAN OMS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "BOURNIAS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-228-9070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Healthcare Professionals PC
• Michigan Institute for Laparoscopic Surgery PC
• Michigan Institute of Sleep Disorders PLLC
• Michigan Interventional Pain Associates PLLC
• Michigan Interventional Pain Associates PLLC
• Michigan Orthopaedic Surgeons PLLC
• Michigan Pediatric ENT Associates, PLLC
• Michigan Radiology Services, P.C.
• Michigan Surgery Specialists P.C. (Motus Rehabilitation)
• Michigan Telemedicine Associates, P.C.

• Oral and Maxillofacial Surgery (Dentist) in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.