Michael John Redmond, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

44768 Issued in CA

Practice address

181 Avenida Vaquero
Suite C
San Clemente, CA 92672-3600

Phone

(949) 492-2141

NPI assigned

Jan 8, 2007

Last updated

Jul 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mredmond@direct.westerndental.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• W. Ronald Redmond DDS Ms Inc.

  dba In Studio

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Irvine, CA
  • NPI 1295902682
  NPD

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1821146416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ESPLANADE",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725423",
            "telephone_number": "949-492-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 AVENIDA VAQUERO",
            "address_2": "SUITE C",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723600",
            "telephone_number": "949-492-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "44768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Randall, PSYD
• Melissa Ray
• Raymond L. Wright Jr DDS PC (San Clemente Periodontics & Implants)
• Brendon Rearick
• Erini Papandreas Redmond, DDS
• Jacqueline Reed
• David William Reenders, RPT
• Mandy Rae Reese, OTR/L
• Stephanie Marie Reese, PHD
• Reimagine Network

• Orthodontics and Dentofacial Orthopedics Dentistry in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.