Individual provider Active NPI

Miguel Angel Ibarra, DDS

  • Public Health Dentistry
  • Murphy, NC
National Provider Identifier
1003594326
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
14518 Issued in NC
Practice address
4226 E US 64 Alt
Murphy, NC 28906-6846
Phone
(828) 837-8131
Fax
(877) 930-7732
NPI assigned
Jul 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 14518 NC Primary
Dentist 122300000X 14518 NC

Addresses

Primary practice location

4226 E US 64 Alt
Murphy, NC 28906-6846

Mailing address

PO Box 100181
Columbia, SC 29202-3141
Phone (828) 202-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260522002402 NC Practitioner - Dentist 8921545450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9425 Delegates Row
Indianapolis, IN 46240-3805

PO Box
Columbia, SC 29202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14518NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Mountain Community Health Centers CurrentSince Dec 14, 2025 Accepting new patients
Appalachian Mountain Community Health Centers PastSince Apr 19, 2026 Accepting new patients
Appalachian Mountain Community Health Centers PastSince Dec 14, 2025 Accepting new patients

Locations

4226 E US 64 Alt
Murphy, NC 28906
Phone (828) 479-6434

4048 E US 64 Alt
Ste 1
Murphy, NC 28906
Phone (828) 837-8131

Networks

  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • TN PPO C-SNP

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJCFAD/Endpoint/AJCFAD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1003594326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100181",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023141",
            "telephone_number": "828-202-5200",
            "fax_number": "828-479-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 E US 64 ALT",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066846",
            "telephone_number": "828-837-8131",
            "fax_number": "877-930-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NC",
            "license": "14518",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "14518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.