Michael C Fair Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30022165 Issued in OH

Practice address

3360 Tremont Rd Ste 100
Columbus, OH 43221-2111

Phone

(614) 451-7377

NPI assigned

Jun 7, 2006

Last updated

May 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1407896780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 TREMONT RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212111",
            "telephone_number": "614-451-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 TREMONT RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212111",
            "telephone_number": "614-451-7377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CMR 442",
            "address_2": "Heidelberg Dental Activity Credentials Office",
            "address_purpose": "LOCATION",
            "city": "APO AE",
            "state": "NY",
            "postal_code": "09042",
            "country_code": "US",
            "telephone_number": "061-815-0065 x20",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIR",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022165",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fair Chance Care Services
• Angela Maria Fair
• Angeletta L Fair
• Danielle Fair
• Donna Fair, QMHS III
• Patrick Fair
• Shawn Anthony Fair
• Faircare Home Health Services, LLC
• Ene Therese Raig Fairchild, MD, PHD
• Kailey Fairchild

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.

Verify at the official NPI Registry.