Active NPI
Michael Scott Mead Jr., D.D.S.
- General Practice Dentistry
- Uniontown, OH
National Provider Identifier
1275673402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30-022534
- Practice address
- 12981 Cleveland Ave NW
Uniontown, OH 44685-8086 - Phone
- (330) 699-2523
- Fax
- (330) 699-4070
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-022534 | OH | Primary |
| General Practice Dentistry | 1223G0001X | 12010635A | IN |
Addresses
Primary practice location
12981 Cleveland Ave NW
Uniontown, OH 44685-8086
Mailing address
12981 Cleveland Ave NW
Uniontown, OH 44685-8086
Phone (330) 699-2523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 4, 2016 through Feb 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12010635A | IN | MD | General Practice Dentistry |
| 30-022534 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1275673402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12981 CLEVELAND AVE NW",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446858086",
"telephone_number": "330-699-2523",
"fax_number": "330-699-4070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12981 CLEVELAND AVE NW",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446858086",
"telephone_number": "330-699-2523",
"fax_number": "330-699-4070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEAD",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30-022534",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12010635A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Uniontown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.