Renu Michelsen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

50261 Issued in CA

Practice address

172 N Tustin St Ste 104
Orange, CA 92867-7780

Phone

(714) 538-1178

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Renu Michelsen Dental Corporation

  dba Michelsen Dental

  • General Practice Dentistry
  • Orange, CA
  • NPI 1821844838
  NPD Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1952451346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 N TUSTIN ST STE 104",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677780",
            "telephone_number": "714-538-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 N TUSTIN ST STE 104",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677780",
            "telephone_number": "714-538-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSEN",
        "first_name": "RENU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose R Michel Santana
• Erika Michel
• Michele Carpenter, M.D., Inc (Orange County Breast Care Specialists)
• Julie Micheli, LCSW
• Michelle L Romero MD a Professional Corporation
• Jessica Michelson
• Roxanne Cano Mickelson, M.D.
• Theresa Ann Mickles
• Ameryn Mickley, MA, AMFT
• Jakub Micko, MD

• Dentist in Orange, CA
• Providers in Orange, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.