Melinda Kay Miner, D.D.S.
Individual provider Active NPI Dentist · Hays, KS
NPI 1356448286 · NPPES record last updated Aug 17, 2011
Key facts
- NPI
- 1356448286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 7213 (KS)
- Practice address
- 1010 Downing Ave Ste 10
Hays, KS 67601-2461 - Phone
- (785) 625-2200
- Fax
- (785) 625-0079
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7213 | KS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miner Family Dentistry, P.a. | Past | Accepting new patients | |
| The Dentist PA | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7213 | KS | Yes |
Addresses
Primary practice location
1010 Downing Ave Ste 10
Hays, KS 67601-2461
Mailing address
1010 Downing Ave Ste 10
Hays, KS 67601-2461
Phone (785) 625-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100367900-B | Medicaid | KS | |
| 0722246 | Other | KS | TRICARE TDP |
| 920275 | Other | KS | UNITED CONCORDIA |
| 116706 | Other | KS | BLUE CROSS BLUE SHIELD |
NPI Registry JSON
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1356448286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 DOWNING AVE STE 10",
"city": "HAYS",
"state": "KS",
"postal_code": "676012461",
"telephone_number": "785-625-2200",
"fax_number": "785-625-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 DOWNING AVE STE 10",
"city": "HAYS",
"state": "KS",
"postal_code": "676012461",
"telephone_number": "785-625-2200",
"fax_number": "785-625-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "MELINDA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "7213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100367900-B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE TDP",
"identifier": "0722246",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "920275",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "116706",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hays, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.