Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Michael A Derose DDS PA

Q: What is the NPI number for Michael A Derose DDS PA?

The NPI for Michael A Derose DDS PA is 1164467411, a Type 2 (organization) record in the CMS NPPES registry.

General Practice Dentistry in Winston Salem, NC · enumerated 2006 · authorized official Michael Derose, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164467411

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Michael A Derose DDS PA

Practice address 2041 Silas Creek Pkwy, Winston Salem, NC, 27103

Phone (336) 777-0303

Fax (336) 777-3448

Enumeration date Jun 19, 2006

Last updated in NPPES Jul 21, 2022

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Michael Derose

Title Owner

Phone (336) 777-0303

Other identifiers

Identifier	Type	State	Issuer
89012P6	Medicaid	NC	-
012P6	Other	-	BLUE CROSS BLUE SHIELD NC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Michael A Derose DDS PA?

NPPES lists Michael Derose (Owner) as the authorized official for this organization.

What is the NPI number for Michael A Derose DDS PA?

The NPI for Michael A Derose DDS PA is 1164467411, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.