Dominic J Medinger, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30021476 Issued in OH

Practice address

401 Center St
Ironton, OH 45638-1533

Phone

(740) 532-6003

Fax

(740) 532-1157

NPI assigned

Mar 19, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dominic J Medinger DDS Inc

  • Dentist
  • Ironton, OH
  • NPI 1942698741
  NPD (past) Authorized official
• Dominic J Medinger DDS Inc

  • General Practice Dentistry
  • Ironton, OH
  • NPI 1689457525
  NPD

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1134443153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CENTER ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381533",
            "telephone_number": "740-532-6003",
            "fax_number": "740-532-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CENTER ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381533",
            "telephone_number": "740-532-6003",
            "fax_number": "740-532-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINGER",
        "first_name": "DOMINIC",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30021476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2327637",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trissa Meadows, CDCA
• Jill A Means, CMS
• Whitney Medcalf
• Kristi Meddings
• Medical Innovations
• Mended Reeds Mental Health, Inc.
• Mended Reeds Mental Health, Inc.
• Mended Reeds Services, Inc.
• Mended Reeds Services, Inc.
• Mended Reeds Services, Inc.

• Dentist in Ironton, OH
• Providers in Ironton, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.