Individual provider Active NPI

Michael C Emming, D.D.S

  • General Practice Dentistry
  • Hamilton, OH
National Provider Identifier
1740269414
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16131 Issued in OH
Practice address
210 S 2ND St
Hamilton, OH 45011-2811
Phone
(513) 454-1111
Fax
(513) 737-1592
NPI assigned
Jan 11, 2006
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 16131 OH Primary

Addresses

Primary practice location

210 S 2ND St
Hamilton, OH 45011-2811

Mailing address

PO Box 837
Hamilton, OH 45012-0837
Phone (513) 454-1460

Other identifiers 1

IdentifierTypeStateIssuer
0514590MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.emming.p5@direct.phs.nextgenshare.com

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
I20150416001918 OH Order and Referring Only - DentistPractitioner - Dentist 1658699939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16131OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gamber Dental Group PastSince Oct 29, 2023 Accepting new patients
Butler County Community Health Consortium Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.emming.p5@direct.myprimaryhealth.nextgenshare.com
  • Direct secure messaging: michael.emming.p5@direct.phs.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1740269414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450120837",
            "telephone_number": "513-454-1460",
            "fax_number": "513-398-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 2ND ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112811",
            "telephone_number": "513-454-1111",
            "fax_number": "513-737-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMING",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0514590",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.emming.p5@direct.phs.nextgenshare.com",
            "affiliation": "N",
            "address_1": "210 S 2nd St",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450112811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.