NPIMap

Organization Active NPI

Michael a Ignelzi Jr DDS PHD PA

  • Pediatric Dentistry
  • Greensboro, NC
National Provider Identifier
1124235205
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5606 Issued in NC
Legal business name
MICHAEL A IGNELZI JR DDS PHD PA
Practice address
3901 N Elm St
Greensboro, NC 27455-2594
Phone
(336) 286-0200
Fax
(336) 286-0198
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Dr. Michael A. Ignelzi Jr., DDS, PHDNPI 1144310517
Title
Owner
Phone
(336) 286-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 5606 NC Primary

Addresses

Primary practice location

3901 N Elm St
Greensboro, NC 27455-2594

Mailing address

3901 N Elm St
Greensboro, NC 27455-2594
Phone (336) 286-0200

Other identifiers 1

IdentifierTypeStateIssuer
5904622MedicaidNC

National Provider Directory

National Provider Directory

Locations

3901 N Elm St
Greensboro, NC 27455
Phone (336) 286-0200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1124235205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552594",
            "telephone_number": "336-286-0200",
            "fax_number": "336-286-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552594",
            "telephone_number": "336-286-0200",
            "fax_number": "336-286-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A IGNELZI JR DDS PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "IGNELZI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-286-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "5606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904622",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.