Jon Jeffrey Menig, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

A32744 Issued in CA

Practice address

105 Providence Mine Rd
Suite 203
Nevada City, CA 95959-2950

Phone

(530) 478-8366

Fax

(530) 478-8370

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr Andrek GV Ingersoll Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grass Valley, CA
  • NPI 1487488060
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467671602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PROVIDENCE MINE RD",
            "address_2": "SUITE 203",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592950",
            "telephone_number": "530-478-8366",
            "fax_number": "530-478-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PROVIDENCE MINE RD",
            "address_2": "SUITE 203",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592950",
            "telephone_number": "530-478-8366",
            "fax_number": "530-478-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENIG",
        "first_name": "JON",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "A32744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jammie McIntosh
• Colleen Mae McKinnon, LCSW
• Alecia McKnight
• Leslie Lewallen McQuary
• Eneida Mendoza, LVN
• Cheyenne Grace Menkee
• Scott Alan Mertz, MS, PPS
• Mary Middleton, R.N.
• Marta Miernik
• Mara M Millar

• Orthodontics and Dentofacial Orthopedics Dentistry in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.