Organization Active NPI

Cynthia J Mikula DDS Inc

  • Durable Medical Equipment & Medical Supplies
  • Bay Village, OH
National Provider Identifier
1245794346
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CYNTHIA J MIKULA DDS INC
Practice address
572 Dover Center Rd
Bay Village, OH 44140-2361
Phone
(440) 871-7170
Fax
(440) 899-6375
NPI assigned
Jan 23, 2019
Organization subpart
Yes
Parent organization
CYNTHIA J MIKULA DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Ms. Patricia Maderitz
Title
Office Manager
Phone
(440) 871-7170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

572 Dover Center Rd
Bay Village, OH 44140-2361

Mailing address

572 Dover Center Rd
Bay Village, OH 44140-2361
Phone (440) 871-7170

National Provider Directory

National Provider Directory
Part of
Cynthia J Mikula DDS Inc

Locations

572 Dover Center Rd
Bay Village, OH 44140
Phone (440) 871-7170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1245794346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 DOVER CENTER RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402361",
            "telephone_number": "440-871-7170",
            "fax_number": "440-899-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 DOVER CENTER RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402361",
            "telephone_number": "440-871-7170",
            "fax_number": "440-899-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA J MIKULA DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CYNTHIA J MIKULA DDS INC",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "MADERITZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-871-7170",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.