JONATTAN EDUARDO ANGULO-OCHOA DDS
NPI 1861002719
Oral & Maxillofacial Surgery in Detroit, MI

Active since August 05, 2020PECOS EnrolledAccepts Medicare Assignment
22201 MOROSS RD STE 155, DETROIT, MI 48236(313) 499-4929(313) 499-4953 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonattan Eduardo Angulo-ochoa Dds NPPES

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

JONATTAN EDUARDO ANGULO-OCHOA DDS (NPI 1861002719) is an individual oral & maxillofacial surgery provider in Detroit, Michigan, licensed in Michigan (2952000716) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1861002719
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameJONATTAN EDUARDO ANGULO-OCHOACredential: DDS
Location Address22201 MOROSS RD STE 155Detroit, MI 48236-2152
Mailing Address22201 Moross Rd Ste 155Detroit, MI 48236-2152 · (313) 499-4929 · Fax (313) 499-4953
Fax(313) 499-4953
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 5, 2020
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
NPI 1861002719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses Licensed in MI · 2952000716 Licensed in MI · 5315214666 Licensed in MI · 5315214665
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

22201 MOROSS RD STE 155, Detroit, MI 48236

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonattan Eduardo Angulo-ochoa Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527484690
PECOS Enrollment IDI20240707000015
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Other Providers at the Same Location NPPES 5

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

Dentist
22201 MOROSS RD STE 155
DETROIT, MI 48236
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 155
DETROIT, MI 48236
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 155
DETROIT, MI 48236
Dentist (Oral and Maxillofacial Surgery)
22201 MOROSS RD STE 155
DETROIT, MI 48236
Dentist (Oral and Maxillofacial Surgery)
22201 MOROSS RD STE 155
DETROIT, MI 48236

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 Jonattan Angulo-ochoa's NPI number?

The NPI number for Jonattan Angulo-ochoa is 1861002719. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Jonattan Angulo-ochoa located?

Jonattan Angulo-ochoa practices at 22201 Moross Rd Ste 155, Detroit, MI 48236. The listed phone number is (313) 499-4929.

What is Jonattan Angulo-ochoa's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Jonattan Angulo-ochoa enrolled in Medicare?

Yes. Jonattan Angulo-ochoa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jonattan Angulo-ochoa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 13 other insurers list Jonattan Angulo-ochoa 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.

Is Jonattan Angulo-ochoa affiliated with any hospitals?

According to CMS data, Jonattan Angulo-ochoa is affiliated with Ascension St John Hospital and Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Jonattan Angulo-ochoa was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.