Individual
DR. MICHAEL A RENALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS019414L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01412301
CAPITAL BLUE CROSS
PA
01
—
028552
PA BLUE SHIELD
PA
01
—
182033
US HEALTHCARE
PA
01
—
232702929
FEDERAL TAX ID #
PA
01
—
DS019414L
DENTAL LICENSE NUMBER
PA
Enumeration date
08/24/2005
Last updated
05/22/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up