Individual provider Active NPI

Timothy Ryan Minga, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Delaware, OH
National Provider Identifier
1356889737
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30.025708 Issued in OH
Practice address
3769 Columbus Pike Ste 100
Delaware, OH 43015-7213
Phone
(740) 573-5007
NPI assigned
Feb 6, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 30.025708 OH Primary

Addresses

Primary practice location

3769 Columbus Pike Ste 100
Delaware, OH 43015-7213

Mailing address

3769 Columbus Pike Ste 100
Delaware, OH 43015-7213
Phone (614) 800-7352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.025708OHMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Minga Orthodontics LLC Orthodontics and Dentofacial Orthopedics CurrentSince Aug 14, 2022 Accepting new patients

Locations

3769 Columbus Pike
Ste 100
Delaware, OH 43015
Phone (614) 800-7352

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1356889737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3769 COLUMBUS PIKE STE 100",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157213",
            "telephone_number": "614-800-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 COLUMBUS PIKE STE 100",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157213",
            "telephone_number": "740-573-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGA",
        "first_name": "TIMOTHY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30.025708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.