Mentor Dental Arts Ronald L. Micchia DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15919 Issued in OH

Legal business name

MENTOR DENTAL ARTS RONALD L. MICCHIA DDS, INC.

Practice address

9140 Lakeshore Blvd
Mentor, OH 44060

Phone

(440) 257-3900

Fax

(440) 257-7070

NPI assigned

Nov 1, 2006

Last updated

Oct 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald Micchia

Title

Dentist/Ceo

Phone

(440) 257-3900

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ron Micchia

  • Dentist
  • Mentor, OH
  • NPI 1497177646
  NPD (past)
• William Mitman

  • Dentist
  • Mentor, OH
  • NPI 1023430303
  NPD (past)
• Esmaiel Tayara

  • General Practice Dentistry
  • Mentor, OH
  • NPI 1144076340
  NPD (past)
• Stephanie Ung, DDS

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1811348840
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1578640066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 LAKESHORE BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "440-257-3900",
            "fax_number": "440-257-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 LAKESHORE BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "440-257-3900",
            "fax_number": "440-257-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR DENTAL ARTS RONALD L. MICCHIA DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "MICCHIA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "440-257-3900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Meisel, PT, DPT
• Jessica Melaragno
• Kendra Meltzer
• Karla Josmara Mendez, AA
• Mentor Chiropractic and Rehabilitation Inc
• Mentor Dental Care - David M. Raiffe DDS Mba LLC
• Mentor Exempted Village School District
• Mentor Health and Rehabilitation Center, Inc. (Mentor Ridge Health and Rehabilitation)
• Mentor Operator, LLC (Symphony at Mentor)
• Mentor Ops, LLC (Salida Woods Assisted Living)

• General Practice Dentistry in Mentor, OH
• Providers in Mentor, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.