Michael L. Minten DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014811 Issued in MO

Legal business name

MICHAEL L. MINTEN DDS

Practice address

411 N College Ave
Columbia, MO 65201-4915

Phone

(573) 443-5195

Fax

(573) 449-1269

NPI assigned

Sep 8, 2009

Last updated

Sep 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lee Minten Sr., DDSNPI 1730153784

Title

Owner/Dentist

Phone

(573) 443-5195

Specialties & licenses 1

Addresses

Locations

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.

• Michael Lee Minten Sr., DDS

  • Dentist
  • Columbia, MO
  • NPI 1730153784
  NPD (past) Authorized official

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1164755237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N COLLEGE AVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-443-5195",
            "fax_number": "573-449-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N COLLEGE AVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014915",
            "telephone_number": "573-443-5195",
            "fax_number": "573-449-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. MINTEN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "MINTEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "573-443-5195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Meyer
• Theresa Lynn Meyer
• Thomas Wesley Meyer, DO
• Lewis Aaron Meyerson, M.D.
• Michael L Burks, M.D., P.C. (Central Missouri Physicians for Women)
• Michael S. Todd D.M.D., LLC
• Jill Elizabeth Michaelson, C.R.N.A.
• Mid Missouri Neurosurgery, LLP
• Mid Missouri Pain Management LLC (Noble Pain Management)
• Mid Missouri Surgery Center, LLC (Surgery Center at The Forum)

• General Practice Dentistry in Columbia, MO
• Providers in Columbia, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.