Olga Minukhin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3404 Issued in NH

Practice address

29 Elliott St
Laconia, NH 03246-3130

Phone

(603) 527-7112

Fax

(603) 527-2835

NPI assigned

Feb 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

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

State licenses

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1760455117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ELLIOTT ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463130",
            "telephone_number": "603-527-7112",
            "fax_number": "603-527-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ELLIOTT ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463130",
            "telephone_number": "603-527-7112",
            "fax_number": "603-527-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINUKHIN",
        "first_name": "OLGA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30302903",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "02Y007384NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Milfort, PHARM.D.
• Arnold Miller
• Sarah Miller
• Laura Mills
• Mindful Journey Mental Health PLLC
• Elizabeth A Mitchell, ARNP
• Andrea Moalli, PHARMD
• Alli T Mofor, APRN
• Robert Andrew Mooney, DMD
• Danielle Moore, CCC-SLP

• General Practice Dentistry in Laconia, NH
• Providers in Laconia, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.