Individual provider Active NPI

Richard J Nykiel, D.D.S.

  • General Practice Dentistry
  • Woodhaven, MI
National Provider Identifier
1932160405
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901011954 Issued in MI
Practice address
22150 Allen Rd
Woodhaven, MI 48183-2271
Phone
(734) 676-6672
Fax
(734) 676-6646
NPI assigned
Mar 31, 2006
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
General Practice Dentistry 1223G0001X 2901011954 MI Primary

Addresses

Primary practice location

22150 Allen Rd
Woodhaven, MI 48183-2271

Mailing address

22150 Allen Rd
Woodhaven, MI 48183-2271
Phone (734) 676-6672

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151120000935 MI Order and Referring Only - DentistPractitioner - Dentist 1052596509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901011954MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932160405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22150 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832271",
            "telephone_number": "734-676-6672",
            "fax_number": "734-676-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22150 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832271",
            "telephone_number": "734-676-6672",
            "fax_number": "734-676-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYKIEL",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, MI

Sources for this page

Verify at the official NPI Registry.