Active NPI
Miguel Angel Ibarra, DDS
- Public Health Dentistry
- Murphy, NC
National Provider Identifier
1003594326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 14518
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14518 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Mountain Community Health Centers | Current | Accepting new patients | |
| Appalachian Mountain Community Health Centers | Past | Accepting new patients | |
| Appalachian Mountain Community Health Centers | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Robbinsville, NC
- NPI 1780064832
-
- Federally Qualified Health Center (FQHC)
- Murphy, NC
- NPI 1356896187
-
- Federally Qualified Health Center (FQHC)
- Asheville, NC
- NPI 1336528314
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.