Toni Mitchell, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

10812 Issued in KY

Practice address

311 Briarwood Trce
Corbin, KY 40701-9619

Phone

(270) 703-3429

NPI assigned

Jul 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• London Women'S Care, LLC

  • Obstetrics & Gynecology Physician
  • London, KY
  • NPI 1063454650
  Medicare reassignment

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013642206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BRIARWOOD TRCE",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407019619",
            "telephone_number": "270-703-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BRIARWOOD TRCE",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407019619",
            "telephone_number": "270-703-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TONI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jo Miracle-Meadows, BS
• Elice Marie Miracle, LPCA, M.ED
• Tara Lee Miracle, LPCC
• Jahan David Miremami, M.D
• Tiffany Mitchell
• Debra Moberly, LCSW
• Raymond J Monaco Jr., MD
• Julie Renee Monday, APRN
• Amanda Rose Monin
• Amy Lynn Moore, BS, LPCC

• Dentist in Corbin, KY
• Providers in Corbin, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.