Kimberly Dawn Michalak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-022574 Issued in OH

Practice address

4986 Cosgray Rd
Dublin, OH 43016-8337

Phone

(614) 534-0688

Fax

(614) 534-0699

NPI assigned

Jul 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hayden Run Dentistry

  • General Practice Dentistry
  • Dublin, OH
  • NPI 1548568124
  NPD (past) Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1619176633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4986 COSGRAY RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168337",
            "telephone_number": "614-534-0688",
            "fax_number": "614-534-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4986 COSGRAY RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168337",
            "telephone_number": "614-534-0688",
            "fax_number": "614-534-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALAK",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina A Meyer, CNP
• Jacquelyn Marie Meyers, NP-C
• Amos Mfwangavo
• Mi Innovation LLC
• Stephanie Michael, DO
• Olivia Michalke
• Lauren Ashley Michel, PHARMD
• Michele R. Krohn-Harper, DC, Inc
• Dana Kathryn Mickle, PA-C
• Jonathan Thomas Miday

• General Practice Dentistry in Dublin, OH
• Providers in Dublin, 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 Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.