Individual provider Active NPI

Timothy Hall Mihle, DDS, MS

  • Endodontics
  • Wilmington, NC
National Provider Identifier
1508876574
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
5933 Issued in NC
Practice address
1604 Physicians Dr Ste 101
Wilmington, NC 28401-7349
Phone
(910) 343-3333
Fax
(910) 763-9476
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 5933 NC Primary

Addresses

Primary practice location

1604 Physicians Dr Ste 101
Wilmington, NC 28401-7349

Mailing address

1604 Physicians Dr Ste 101
Wilmington, NC 28401-7349
Phone (910) 343-3333

Other identifiers 2

IdentifierTypeStateIssuer
153841OtherNCUNITED CONCORDIA
9594BOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160322001737 NC Order and Referring Only - DentistPractitioner - Dentist 9032416839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Timothy H. Mihle Endodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508876574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 PHYSICIANS DR STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017349",
            "telephone_number": "910-343-3333",
            "fax_number": "910-763-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 PHYSICIANS DR STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017349",
            "telephone_number": "910-343-3333",
            "fax_number": "910-763-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHLE",
        "first_name": "TIMOTHY",
        "middle_name": "HALL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "5933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "153841",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9594B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.