Individual provider Active NPI

David G Minto Jr., DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Fairhope, AL
National Provider Identifier
1578855078
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
6381-C Issued in AL
Practice address
19748 Greeno Rd
Fairhope, AL 36532-3836
Phone
(251) 990-5959
Fax
(251) 378-9032
NPI assigned
May 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 6381-C AL Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6381-C AL

Addresses

Primary practice location

19748 Greeno Rd
Fairhope, AL 36532-3836

Mailing address

19748 Greeno Rd
Fairhope, AL 36532-3836
Phone (251) 990-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 10, 2019 through May 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6381-CALMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Minto Oral & Maxillofacial Surgery Oral and Maxillofacial Surgery 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": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1578855078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19748 GREENO RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323836",
            "telephone_number": "251-990-5959",
            "fax_number": "251-378-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19748 GREENO RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323836",
            "telephone_number": "251-990-5959",
            "fax_number": "251-378-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTO",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AL",
            "license": "6381-C",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "6381-C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.