DEREK RYAN MICHAEL (NPI# 1477047082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477047082 |
| Entity Type | Individual |
| Full Name | DEREK RYAN MICHAEL |
| Credential | DDS |
| Practice Address |
2037 Se 29th St Topeka KS 66605-2457 |
| Practice Telephone | 7852679500 |
| Practice Fax Number | 7853284729 |
| Mailing Telephone | 7852679500 |
| Mailing Fax Number | 7853284729 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
61431 | KS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KANSAS DENTAL LICENSE | 61431 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780025445 | Derek C Michael | Physical Therapist | 2411 Springer Dr, Norman, OK 73069-3955 | 2013-07-10 |
| 1437496957 | Derek Allen Michael | Physician Assistant | 4307 Ball Camp Pike, Knoxville, TN 37921-3313 | 2013-01-04 |
| Street Address |
2037 SE 29TH ST |
| City | TOPEKA |
| State | KS |
| Zip Code | 66605-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598731739 | Thomas M Corcoran | Dentist | 2037 Se 29th St, Topeka, KS 66605-2457 | 2006-02-27 |
| 1376914127 | East 29th Street Dental Center, LLC | Dentist | 2037 Se 29th St, Topeka, KS 66605 | 2015-10-19 |
| 1447546361 | Annette Marie Ogunnowo | Dentist | 2037 Se 29th St, Topeka, KS 66605-2457 | 2011-06-20 |
| 1306176276 | Shabnam Amin | Dentist | 2037 Se 29th St, Topeka, KS 66605-2457 | 2009-12-28 |
| 1861449712 | Topeka Dental Clinic, LLC | Dentist | 2037 Se 29th St, Topeka, KS 66605-2457 | 2006-05-27 |
| 1417903543 | Norman E Ruediger | Dentist | 2037 Se 29th St, Topeka, KS 66605-2457 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326690769 | Shelane Hope Frederick | Registered Nurse | 2443 Se 29th Street, Topeka, KS 66605 | 2019-07-16 |
| 1982150595 | Bio-medical Applications of Kansas, Inc. | Clinic/Center | 3408 Se 29th St, Topeka, KS 66605 | 2016-09-01 |
| 1740424878 | Trisha L. Brabender | Physical Therapist | 3310 Se 29th Street, Suite 300, Topeka, KS 66605 | 2009-04-20 |
| 1932358488 | Rutherford-peterson Dentistry LLC | Dentist | 3316 Se 28th Terrace, Topeka, KS 66605 | 2008-09-09 |
| 1578664587 | Deborah Ryan Haag | Social Worker | 325 Frazier, Topeka, KS 66605 | 2006-09-25 |
| 1073525119 | Katherine S Seim-snyder | Nurse Practitioner | 2909 Sw Walnut Drive, Topeka, KS 66605 | 2006-08-13 |
| 1982644787 | Dillon Companies LLC | Pharmacy | 2010 Se 29th St, Topeka, KS 66605 | 2006-06-08 |
| 1033188479 | James N Marker | Dentist | 1605 Se 29th St, Topeka, KS 66605 | 2006-03-17 |
| 1457320798 | Alison N Hadden | Dentist | 1605 Se 29th St, Topeka, KS 66605 | 2006-03-17 |
| 1740598796 | Double Quality Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2338 Se Madison St, Topeka, KS 66605-1151 | 2010-09-23 |
| Find all providers in zip 66605 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740772722 | Nathan A Ideus | Dentist | 1835 Nw Topeka Blvd Ste 111, Topeka, KS 66608-1892 | 2018-06-05 |
| 1699137109 | Country Club Dental Pa | Dentist | 400 Sw 29th St, Suite M, Topeka, KS 66611-1164 | 2016-03-23 |
| 1457767105 | Eugene Curtis | Dentist | 2221 Sw Auburn Rd, Topeka, KS 66614 | 2014-07-02 |
| 1417372921 | Bhavna Kapoor | Dentist | 400 Sw 29th Street, Topeka, KS 66611-1164 | 2014-02-20 |
| 1932358488 | Rutherford-peterson Dentistry LLC | Dentist | 3316 Se 28th Terrace, Topeka, KS 66605 | 2008-09-09 |
| 1831308105 | Brenda Jane Gloor Pruitt | Dentist | 214 S. Main St., Topeka, IN 46571 | 2007-05-22 |
| 1881722049 | Jeffrey B Clark | Dentist | 5990 Sw 28th St, Suite D, Topeka, KS 66614-3525 | 2007-03-01 |
| 1467540369 | Robert L. Bell | Dentist | 2930 Sw Wanamaker Dr Ste 7, Topeka, KS 66614-4116 | 2006-10-10 |
| 1891881389 | James G Pratt | Dentist | 5605 Sw Barrington Ct S, Suite 200, Topeka, KS 66614 | 2006-10-04 |
| 1588765572 | Robert E. Lacy | Dentist | 4301 Sw Huntoon St Ste 8, Topeka, KS 66604-1967 | 2006-09-25 |
| Find all providers in TOPEKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.