Active NPI
Alex Kiril Mihailoff, D.D.S., M.S.D.
- Endodontics
- Cincinnati, OH
National Provider Identifier
1417104571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 20376
- Practice address
- 9200 Montgomery Rd
Ste 22a
Cincinnati, OH 45242 - Phone
- (513) 793-6500
- Fax
- (513) 793-0905
- NPI assigned
- Aug 20, 2008
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 20376 | OH | Primary |
| Endodontics | 1223E0200X | 673 | KY |
Addresses
Primary practice location
9200 Montgomery Rd
Ste 22a
Cincinnati, OH 45242
Mailing address
9200 Montgomery Rd
Ste 22a
Cincinnati, OH 45242
Phone (513) 793-6500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 673 | KY | MD | Endodontist |
| 20376 | OH | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1417104571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 MONTGOMERY RD",
"address_2": "STE 22A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-793-6500",
"fax_number": "513-793-0905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 MONTGOMERY RD",
"address_2": "STE 22A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-793-6500",
"fax_number": "513-793-0905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIHAILOFF",
"first_name": "ALEX",
"middle_name": "KIRIL",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "20376",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "KY",
"license": "673",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.