Individual provider Active NPI

Charlotte Michalski, DDS

  • General Practice Dentistry
  • North Royalton, OH
National Provider Identifier
1245328996
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30020580 Issued in OH
Practice address
6675 Royalton Rd
North Royalton, OH 44133-4927
Phone
(440) 230-1645
NPI assigned
Oct 10, 2006
Last updated
May 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30020580 OH Primary

Addresses

Primary practice location

6675 Royalton Rd
North Royalton, OH 44133-4927

Mailing address

6675 Royalton Rd
North Royalton, OH 44133-4927
Phone (440) 230-1645

Other identifiers 1

IdentifierTypeStateIssuer
341895481OtherOHDELTA DENTAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180913002682 OH Order and Referring Only - DentistPractitioner - Dentist 5395095244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30020580OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1245328996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 ROYALTON RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334927",
            "telephone_number": "440-230-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 ROYALTON RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334927",
            "telephone_number": "440-230-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALSKI",
        "first_name": "CHARLOTTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "341895481",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

Verify at the official NPI Registry.