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MICHIGAN OMS P C
NPI 1801906458
Dentist - Oral and Maxillofacial Surgery in West Bloomfield, MI

Active since August 30, 2006
6022 W MAPLE RD STE 405, WEST BLOOMFIELD, MI 48322(248) 855-2006(248) 855-0571 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2020, Sep 24, 2018 (2 updates tracked since 2018).

About Michigan Oms P C NPPES

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

MICHIGAN OMS P C (NPI 1801906458) is a healthcare organization registered as an oral and maxillofacial surgery in West Bloomfield, Michigan and active in the NPI registry since August 2006. The organization maintains a secondary practice location in Clinton Township and lists Nicholas J Bournias, President, as its authorized official.

NPPES Registry Identity

NPI1801906458
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMICHIGAN OMS P C
Location Address6022 W MAPLE RD STE 405West Bloomfield, MI 48322-4408
Mailing Address6022 W Maple Rd Ste 405West Bloomfield, MI 48322-4408 · (248) 855-2006 · Fax (248) 855-0571
Phone(248) 855-2006
Fax(248) 855-0571
Organization SubpartNo
Authorized OfficialNicholas J BourniasPresident · (586) 228-9070
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1801906458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
6022 W MAPLE RD STE 405, West Bloomfield, MI 48322
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Secondary Practice Location 1

Location 143900 Garfield Rd Ste 103Clinton Township, MI 48038-1137 · Phone (586) 228-9070

Other Identifiers 11

Other2901020355MI · State License Number
Medicaid3159052MI
Medicaid4067429MI
Medicaid2990516MI
Medicaid2990561MI
Medicaid2773480MI
Other970F31085MI · Group Number Bcbsm
OtherNB015573MI · State License Number
Medicaid1021382MI
Medicaid3203473MI
Medicaid2990552MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michigan Oms P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Michigan Oms P C, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Thomas Bolten, D.D.S., MD
Oral Surgery
NPI 1053545707
6022 W MAPLE RD STE 405
West Bloomfield, MI 48322
(248) 855-2006
✔ PECOS✔ Accepts MedicareSame address
Brian Murphy, DDS
Maxillofacial Surgery
NPI 1861674137
6022 W MAPLE RD STE 405
West Bloomfield, MI 48322
(248) 855-2006
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Topf, DDS,FACS
Maxillofacial Surgery
NPI 1396727293
6022 W MAPLE RD STE 405
West Bloomfield, MI 48322
(248) 855-2006
✔ PECOSSame address
Nicholas Bournias, DDS
Maxillofacial Surgery
NPI 1144202045
43900 GARFIELD RD STE 103
Clinton Township, MI 48038
(586) 228-9070
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Michigan Oms P C's NPI number?

The NPI number for Michigan Oms P C is 1801906458. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Michigan Oms P C located?

Michigan Oms P C is located at 6022 W Maple Rd Ste 405, West Bloomfield, MI 48322. The listed phone number is (248) 855-2006.

What is Michigan Oms P C's specialty?

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

Is Michigan Oms P C enrolled in Medicare?

Yes. Michigan Oms P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michigan Oms P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Michigan Oms P C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Maxillofacial Surgery (3) and Oral Surgery (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michigan Oms P C accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michigan Oms P C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michigan Oms P C was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.