Organization Active NPI

Kenneth J Molnar DDS Inc

  • Oral and Maxillofacial Surgery Clinic/Center
  • Mansfield, OH
National Provider Identifier
1700027042
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
KENNETH J MOLNAR DDS INC
Practice address
2191 Park Ave W
Mansfield, OH 44906-1226
Phone
(419) 529-9494
Fax
(419) 529-9391
NPI assigned
Mar 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Dr. Kenneth J Molnar, DDS
Title
Owner
Phone
(419) 529-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

2191 Park Ave W
Mansfield, OH 44906-1226

Mailing address

2191 Park Ave W
Mansfield, OH 44906-1226
Phone (419) 529-9494

Other identifiers 4

IdentifierTypeStateIssuer
000000138778OtherOHANTHEM BC/BS
0701486MedicaidOH
271547277005OtherOHMEDICAL MUTUAL OF OHIO
744917OtherOHUNITED CONCORDIA

National Provider Directory

National Provider Directory

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": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1700027042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061226",
            "telephone_number": "419-529-9494",
            "fax_number": "419-529-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061226",
            "telephone_number": "419-529-9494",
            "fax_number": "419-529-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J MOLNAR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "MOLNAR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-529-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000138778",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0701486",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "271547277005",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "744917",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

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