Active NPI
Michael D Dienes, DDS
- Dentist
- Clinton TWP, MI
National Provider Identifier
1841364114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16830
- Practice address
- 39400 Garfield
Suite 100
Clinton TWP, MI 48038 - Phone
- (586) 263-4720
- Fax
- (586) 263-0237
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 16830 | MI | Primary |
Addresses
Primary practice location
39400 Garfield
Suite 100
Clinton TWP, MI 48038
Mailing address
39400 Garfield
Suite 100
Clinton TWP, MI 48038
Phone (586) 263-4720
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16830 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MGM Dental | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Clinton TWP, MI
- NPI 1306910930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841364114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39400 GARFIELD",
"address_2": "SUITE 100",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "48038",
"telephone_number": "586-263-4720",
"fax_number": "586-263-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39400 GARFIELD",
"address_2": "SUITE 100",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "48038",
"telephone_number": "586-263-4720",
"fax_number": "586-263-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIENES",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "16830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.