Active NPI
Michael R Tinkler, DDS
- Oral and Maxillofacial Pathology Dentistry
- Piqua, OH
National Provider Identifier
1477550952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 30-012784
- Practice address
- 821 Nicklin Ave
Piqua, OH 45356-1739 - Phone
- (937) 778-1623
- Fax
- (937) 778-0359
- NPI assigned
- Jun 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 30-012784 | OH | Primary |
Addresses
Primary practice location
821 Nicklin Ave
Piqua, OH 45356-1739
Mailing address
821 Nicklin Ave
Piqua, OH 45356-1739
Phone (937) 778-1623
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-012784 | OH | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1477550952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 NICKLIN AVE",
"city": "PIQUA",
"state": "OH",
"postal_code": "453561739",
"telephone_number": "937-778-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 NICKLIN AVE",
"city": "PIQUA",
"state": "OH",
"postal_code": "453561739",
"telephone_number": "937-778-1623",
"fax_number": "937-778-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINKLER",
"first_name": "MICHAEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "OH",
"license": "30-012784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piqua, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.