Active NPI
David George Ondich, M.D.
- Psychiatry Physician
- Saint Paul, MN
National Provider Identifier
1407928690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 36656
- Practice address
- 1919 University Ave W
Suite 200
Saint Paul, MN 55104-3453 - Phone
- (651) 266-7999
- Fax
- (651) 266-7850
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 36656 | MN | Primary |
| Psychiatry Physician | 2084P0800X | 2914 | AK |
Addresses
Primary practice location
1919 University Ave W
Suite 200
Saint Paul, MN 55104-3453
Mailing address
1919 University Ave W
Suite 200
Saint Paul, MN 55104-3453
Phone (651) 266-7999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020986 | Medicaid | AK | |
| 179740900 | Other | MN | MHCP |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2914 | AK | MD | Psychiatry Physician |
| 36656 | MN | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1407928690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 UNIVERSITY AVE W",
"address_2": "SUITE 200",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043453",
"telephone_number": "651-266-7999",
"fax_number": "651-266-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 UNIVERSITY AVE W",
"address_2": "SUITE 200",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043453",
"telephone_number": "651-266-7999",
"fax_number": "651-266-7850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONDICH",
"first_name": "DAVID",
"middle_name": "GEORGE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "36656",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AK",
"license": "2914",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020986",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHCP",
"identifier": "179740900",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.