Individual provider Active NPI

Monica Marie Monfredi, DDS

  • Dentist
  • Springfield, OH
National Provider Identifier
1134531387
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-024192 Issued in OH
Practice address
1475 Upper Valley Pike
Springfield, OH 45504-4047
Phone
(937) 322-7549
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-024192 OH Primary

Addresses

Primary practice location

1475 Upper Valley Pike
Springfield, OH 45504-4047

Mailing address

1475 Upper Valley Pike
Springfield, OH 45504-4047
Phone (937) 322-7549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150818006261 CA Order and Referring Only - DentistPractitioner - Dentist 1850606930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-024192OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1134531387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 UPPER VALLEY PIKE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044047",
            "telephone_number": "937-322-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 UPPER VALLEY PIKE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044047",
            "telephone_number": "937-322-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFREDI",
        "first_name": "MONICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-024192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.