DR. SHYAM PRASAD ARAVINDAKSHA BDS, MDS
NPI 1902065014
Oral & Maxillofacial Surgery in Warren, MI

Active since June 03, 2008Opted out of Medicare · through May 1, 2027
29427 RYAN RD, WARREN, MI 48092(586) 755-9340(586) 755-9341 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Oct 31, 2017 (3 updates tracked since 2017).

About Dr. Shyam Prasad Aravindaksha Bds, Mds NPPES

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

DR. SHYAM PRASAD ARAVINDAKSHA BDS, MDS (NPI 1902065014) is an individual oral & maxillofacial surgery provider in Warren, Michigan, licensed in Michigan (2901020544) and active in the NPI registry since June 2008. He has opted out of Medicare through May 1, 2027 and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1902065014
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. SHYAM PRASAD ARAVINDAKSHACredential: BDS, MDS
Location Address29427 RYAN RDWarren, MI 48092-2203
Mailing Address29427 Ryan RdWarren, MI 48092-2203 · (586) 755-9340 · Fax (586) 755-9341
Fax(586) 755-9341
Sole ProprietorNo
Enumeration DateJune 3, 2008
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1902065014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in MI · 2901020544
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.

29427 RYAN RD, Warren, MI 48092

Secondary Practice Location 1

Location 11365 Clifton Rd NEAtlanta, GA 30322-1013 · Phone (404) 778-4500 · Fax (404) 778-5879

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Shyam Prasad Aravindaksha Bds, Mds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 1, 2025 through May 1, 2027.

Opt-Out Effective DateMay 1, 2025
Opt-Out In Effect ThroughMay 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

Dentist (Oral and Maxillofacial Surgery)
29427 RYAN RD
WARREN, MI 48092
Dentist (Oral and Maxillofacial Pathology)
29427 RYAN RD
WARREN, MI 48092
Oral & Maxillofacial Surgery
29427 RYAN RD
WARREN, MI 48092
Oral & Maxillofacial Surgery
29427 RYAN RD
WARREN, MI 48092
Dentist (Oral and Maxillofacial Surgery)
29427 RYAN RD
WARREN, MI 48092
Dentist (Oral and Maxillofacial Surgery)
29427 RYAN RD
WARREN, MI 48092
Oral & Maxillofacial Surgery
29427 RYAN RD
WARREN, MI 48092

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 Shyam Prasad Aravindaksha's NPI number?

The NPI number for Shyam Prasad Aravindaksha is 1902065014. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Shyam Prasad Aravindaksha located?

Shyam Prasad Aravindaksha practices at 29427 Ryan Rd, Warren, MI 48092. The listed phone number is (586) 755-9340.

What is Shyam Prasad Aravindaksha's specialty?

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

Is Shyam Prasad Aravindaksha enrolled in Medicare?

No. Shyam Prasad Aravindaksha has opted out of Medicare through May 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Shyam Prasad Aravindaksha accept?

Health plans from Delta Dental of Michigan and Humana list Shyam Prasad Aravindaksha 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 Shyam Prasad Aravindaksha was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.