Active NPI
Michael E Judy, D.D.S.
- Dentist
- Toledo, OH
National Provider Identifier
1457356891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30-01-6760
- Practice address
- 5919 Teletowne Dr
Ste 5
Toledo, OH 43612-4601 - Phone
- (419) 476-0225
- Fax
- (416) 476-9731
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30-01-6760 | OH | Primary |
Addresses
Primary practice location
5919 Teletowne Dr
Ste 5
Toledo, OH 43612-4601
Mailing address
5919 Teletowne Dr
Ste 5
Toledo, OH 43612-4601
Phone (419) 476-0225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1457356891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5919 TELETOWNE DR",
"address_2": "STE 5",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436124601",
"telephone_number": "419-476-0225",
"fax_number": "416-476-9731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5919 TELETOWNE DR",
"address_2": "STE 5",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436124601",
"telephone_number": "419-476-0225",
"fax_number": "416-476-9731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDY",
"first_name": "MICHAEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30-01-6760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.