Individual provider Active NPI

Elaine Mary Miginsky, D.D.S.

  • General Practice Dentistry
  • Timonium, MD
National Provider Identifier
1245493998
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4835 Issued in MD
Practice address
106 E Padonia Rd
Timonium, MD 21093-2520
Phone
(410) 252-3136
NPI assigned
Jul 2, 2008
Last updated
Aug 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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 4835 MD Primary

Addresses

Primary practice location

106 E Padonia Rd
Timonium, MD 21093-2520

Mailing address

106 E Padonia Rd
Timonium, MD 21093-2520
Phone (410) 252-3136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20151221001424 MD Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2769783547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4835MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1245493998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E PADONIA RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932520",
            "telephone_number": "410-252-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E PADONIA RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932520",
            "telephone_number": "410-252-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGINSKY",
        "first_name": "ELAINE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "4835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.