Individual provider Active NPI

Michael Gordon Mingle, D.D.S.

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1699768531
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7144 Issued in CO
Practice address
15901 E Briarwood Cir Unit 350
Aurora, CO 80016-1789
Phone
(303) 690-4000
Fax
(303) 690-4102
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7144 CO Primary

Addresses

Primary practice location

15901 E Briarwood Cir Unit 350
Aurora, CO 80016-1789

Mailing address

15901 E Briarwood Cir Unit 350
Aurora, CO 80016-1789
Phone (303) 690-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20150612002095 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0143531400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7144COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1699768531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15901 E BRIARWOOD CIR UNIT 350",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161789",
            "telephone_number": "303-690-4000",
            "fax_number": "303-690-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15901 E BRIARWOOD CIR UNIT 350",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161789",
            "telephone_number": "303-690-4000",
            "fax_number": "303-690-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGLE",
        "first_name": "MICHAEL",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.