Active NPI
Michael Christian Polio, DMD
- General Practice Dentistry
- Evansville, IN
National Provider Identifier
1255916086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10749
- Practice address
- 731 N Green River Rd
Evansville, IN 47715-2415 - Phone
- (812) 250-1667
- NPI assigned
- Mar 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10749 | KY | Primary |
Addresses
Primary practice location
731 N Green River Rd
Evansville, IN 47715-2415
Mailing address
731 N Green River Rd
Evansville, IN 47715-2415
Phone (812) 250-1667
Other practice location 1
920 Frederica St
Owensboro, KY 42301-3050
Phone (270) 926-7272
Other names 1
- Michael Polio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230601002592 | KY | Order and Referring Only - Dentist | 9537526793 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joshua K Stamper DMD PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1255916086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 N GREEN RIVER RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477152415",
"telephone_number": "812-250-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 N GREEN RIVER RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477152415",
"telephone_number": "812-250-1667"
}
],
"practiceLocations": [
{
"address_1": "920 Frederica St",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423013050",
"country_code": "US",
"telephone_number": "270-926-7272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLIO",
"first_name": "MICHAEL",
"middle_name": "CHRISTIAN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-12",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "10749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "POLIO",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.