Individual provider Active NPI

Michael J Minarchek, DR

  • Dentist
  • Bethel, OH
National Provider Identifier
1528020567
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30016322 Issued in OH
Practice address
420 West Plane St
Bethel, OH 45106
Phone
(513) 734-0120
Fax
(513) 734-2029
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30016322 OH Primary

Addresses

Primary practice location

420 West Plane St
Bethel, OH 45106

Mailing address

420 West Plane St
Bethel, OH 45106
Phone (513) 734-0120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20151124000834 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6406156413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J. Minarchek, DDS, Inc. 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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1528020567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WEST PLANE ST",
            "city": "BETHEL",
            "state": "OH",
            "postal_code": "45106",
            "telephone_number": "513-734-0120",
            "fax_number": "513-734-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WEST PLANE ST",
            "city": "BETHEL",
            "state": "OH",
            "postal_code": "45106",
            "telephone_number": "513-734-0120",
            "fax_number": "513-734-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINARCHEK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30016322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, OH

Sources for this page

Verify at the official NPI Registry.