Organization Active NPI

Meadow Bridge Dental, Michael D. Farmer D.M.D., Inc.

  • General Practice Dentistry
  • Beavercreek, OH
National Provider Identifier
1649520479
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MEADOW BRIDGE DENTAL, MICHAEL D. FARMER D.M.D., INC.
Practice address
1210 Meadow Bridge Dr
Suite E
Beavercreek, OH 45434-4300
Phone
(937) 426-5303
Fax
(937) 426-5566
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Dr. Michael D Farmer, D.M.D
Title
Owner
Phone
(513) 523-6051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1210 Meadow Bridge Dr
Suite E
Beavercreek, OH 45434-4300

Mailing address

1210 Meadow Bridge Dr
Suite E
Beavercreek, OH 45434-4300
Phone (937) 426-5303

National Provider Directory

National Provider Directory

Locations

1210 Meadow Bridge Dr
Ste E
Beavercreek, OH 45434
Phone (937) 426-5303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1649520479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 MEADOW BRIDGE DR",
            "address_2": "SUITE E",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454344300",
            "telephone_number": "937-426-5303",
            "fax_number": "937-426-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 MEADOW BRIDGE DR",
            "address_2": "SUITE E",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454344300",
            "telephone_number": "937-426-5303",
            "fax_number": "937-426-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW BRIDGE DENTAL, MICHAEL D. FARMER D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-523-6051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.