Myron G Topalian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001411-015 Issued in WI

Practice address

1680 Douglas Ave
Racine, WI 53404-2722

Phone

(262) 633-5600

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295830289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 RICHMOND DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534061540",
            "telephone_number": "262-633-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 DOUGLAS AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534042722",
            "telephone_number": "262-633-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPALIAN",
        "first_name": "MYRON",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001411-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3354700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Ann Tippel, MSW, LCSW, CSAC, ICS
• TND Associates, Inc.
• Lawrence Tolson, MD
• Christopher Louis Tomczak, D.C
• Katy Margaret Tomczak, D.C.
• Michael R Torhorst, RPH
• Total Renal Care Inc
• Total Renal Care Inc
• Sandra Jean Toutant, LPN
• Kaye Anne Tradewell, PTA

• General Practice Dentistry in Racine, WI
• Providers in Racine, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.