Active NPI
Michael Halasa, DDS
Doing business as Marysville Family Dentistry
- Dental Clinic/Center
- Marysville, OH
National Provider Identifier
1124816053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MICHAEL HALASA, DDS
- Doing business as
- Marysville Family Dentistry
- Practice address
- 1139 N Maple St
Marysville, OH 43040-9794 - Phone
- (937) 644-1115
- NPI assigned
- Apr 29, 2025
- Last updated
- Jul 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Halasa, DDS
- Title
- Owner
- Phone
- (937) 644-1115
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1139 N Maple St
Marysville, OH 43040-9794
Mailing address
1139 N Maple St
Marysville, OH 43040-9794
Phone (937) 644-1115
Other names 1
- Marysville Family Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Marysville, OH
- NPI 1174102644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751673600000",
"number": "1124816053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139 N MAPLE ST",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430409794",
"telephone_number": "937-644-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 N MAPLE ST",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430409794",
"telephone_number": "937-644-1115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL HALASA, DDS",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-29",
"last_updated": "2025-07-05",
"certification_date": "2025-07-05",
"status": "A",
"authorized_official_last_name": "HALASA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-644-1115",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Marysville Family Dentistry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Marysville Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.