Individual provider Active NPI

Michael Chase Mings

  • Denturist
  • Twin Falls, ID
National Provider Identifier
1609449305
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
LD-128 Issued in ID
Practice address
105 Filer Ave
Twin Falls, ID 83301-4708
Phone
(208) 944-9057
Fax
(208) 944-9146
NPI assigned
Jul 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X LD-128 ID Primary

Addresses

Primary practice location

105 Filer Ave
Twin Falls, ID 83301-4708

Mailing address

105 Filer Ave
Twin Falls, ID 83301-4708
Phone (208) 320-3198

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LD-128IDMDDenturist

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1609449305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FILER AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014708",
            "telephone_number": "208-320-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FILER AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014708",
            "telephone_number": "208-944-9057",
            "fax_number": "208-944-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGS",
        "first_name": "MICHAEL",
        "middle_name": "CHASE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "ID",
            "license": "LD-128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.