MICHAEL STEVEN PHELPS DDS
NPI 1013075308
Dentist - Oral and Maxillofacial Surgery in Sacramento, CA

Q: What is Michael Phelps's NPI number?

The NPI number for Michael Phelps is 1013075308. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Michael Phelps's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Michael Phelps was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 05, 2006

4350 MARCONI AVENUE, SUITE 200, SACRAMENTO, CA 95821(916) 483-4379(916) 483-4141 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Steven Phelps Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL STEVEN PHELPS DDS (NPI 1013075308) is an individual oral and maxillofacial surgery provider in Sacramento, California, licensed in California (34403) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1013075308

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameMICHAEL STEVEN PHELPSCredential: DDS

Location Address4350 MARCONI AVENUE, SUITE 200Sacramento, CA 95821

Mailing Address4350 Marconi Avenue, Suite 200Sacramento, CA 95821 · (916) 483-4379 · Fax (916) 483-4141

Phone(916) 483-4379

Fax(916) 483-4141

Sole ProprietorNo

Enumeration DateDecember 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1013075308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 34403

Definition

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.

4350 MARCONI AVENUE, Sacramento, CA 95821

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Other Identifiers 1

Medicare UPINU22957

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER JAMES KANE DDS

Dentist (Oral and Maxillofacial Surgery)

4350 MARCONI AVENUE, SUITE 200
SACRAMENTO, CA 95821

Sacramento County (916) 483-4379

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Phelps's NPI number?

The NPI number for Michael Phelps is 1013075308. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Michael Phelps located?

Michael Phelps practices at 4350 Marconi Avenue Suite 200, Sacramento, CA 95821. The listed phone number is (916) 483-4379.

What is Michael Phelps's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Michael Phelps was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.