Jeffrey Gary Minchau, DDS,MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

3456 Issued in WV

Practice address

9000 Coombs Farm Rd
Morgantown, WV 26508-1149

Phone

(304) 594-1670

Fax

(304) 594-1671

NPI assigned

May 2, 2007

Last updated

Oct 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey G. Minchau, DDS, Ms, Inc.

  • Endodontics
  • Parkersburg, WV
  • NPI 1871085787
  NPD Authorized official
• MMS Endodontic Specailist

  • Endodontics
  • Cumberland, MD
  • NPI 1326468398
  NPD Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1689895815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 COOMBS FARM RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081149",
            "telephone_number": "304-319-0498",
            "fax_number": "304-594-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 COOMBS FARM RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081149",
            "telephone_number": "304-594-1670",
            "fax_number": "304-594-1671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 River Ave",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215024611",
            "country_code": "US",
            "telephone_number": "240-362-7017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Mary Higginson Ln",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "PA",
            "postal_code": "154012657",
            "country_code": "US",
            "telephone_number": "724-438-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINCHAU",
        "first_name": "JEFFREY",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS031277L",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "14910",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WV",
            "license": "3456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilie Minarcik, NP
• Joseph J Minardi, M.D.
• Kelly Nicole Minardo
• Samantha Danielle Minc, M.D.
• Elizabeth A Minchau, CFNP
• Mindful Wellness Psychotherapy Services LLC
• Mindsight Integrative Therapy Services
• Amy Miner, CFNP
• Mikaela Miner, PHARMD
• Shane Edward Miner, APRN, FNP-C

• Endodontics in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Endodontics in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.