Individual provider Active NPI

Todd Miker, D.D.S.

  • Dentist
  • Parma Heights, OH
National Provider Identifier
1669817441
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.023937 Issued in OH
Practice address
7057 W 130TH St Ste 302
Parma Heights, OH 44130-7893
Phone
(440) 887-1121
NPI assigned
May 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Dentist 122300000X 30.023937 OH Primary

Addresses

Primary practice location

7057 W 130TH St Ste 302
Parma Heights, OH 44130-7893

Mailing address

7057 W 130TH St Ste 302
Parma Heights, OH 44130-7893
Phone (440) 887-1121

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160212001287 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9931403888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.023937OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Todd P Miker DDS Durable Medical Equipment & Medical Supplies CurrentSince Jun 6, 2021 Accepting new patients

Locations

7057 W 130th St
Ste 302
Parma Heights, OH 44130
Phone (440) 887-1121

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1669817441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7057 W 130TH ST STE 302",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307893",
            "telephone_number": "440-887-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7057 W 130TH ST STE 302",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307893",
            "telephone_number": "440-887-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKER",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

Verify at the official NPI Registry.