DR. THOMAS R MICHAELIS DDS MD NPI 1518029115

NPI Information

  • NPI: 1518029115
  • Provider Name: DR. THOMAS R MICHAELIS, DDS MD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1801 NEWPORT BOULEVARD
    SUITE C
    COSTA MESA, CA
    ZIP 92627
  • Phone: (949) 650-1030

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NPI Details

DR. Thomas R Michaelis, DDS MD is an oral and maxillofacial surgery dentist in Costa Mesa, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Thomas R Michaelis, DDS MD NPI is 1518029115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1801 NEWPORT BOULEVARD
SUITE C
COSTA MESA, CA
ZIP 92627
Phone: (949) 650-1030
Fax: (949) 722-2481

The NPI 1518029115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery42745CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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