Fredrick A Menghini, D.D.S., M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D11406 Issued in MN

Practice address

1903 S 6TH St
Brainerd, MN 56401-4599

Phone

(218) 829-1728

Fax

(218) 829-1729

NPI assigned

Jan 18, 2006

Sex

Male

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 9

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Maxillofacial SurgeryAlso: Oral Surgery

Education

Mayo Medical School, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oral and Maxillofacial Surgery Associates, LTDGroup PAC ID 1557347291, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Oral and Maxillofacial Surgery Associates, LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Brainerd, MN
  • NPI 1942382379
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1801876792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 S 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014599",
            "telephone_number": "218-829-1728",
            "fax_number": "218-829-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014599",
            "telephone_number": "218-829-1728",
            "fax_number": "218-829-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENGHINI",
        "first_name": "FREDRICK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D11406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS MNCARE",
            "identifier": "76B22-ME",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA MNCARE-LITTLE FALL",
            "identifier": "86-00244",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA MNCARE-BRAINERD",
            "identifier": "86-00245",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA MNCARE-BEMIDJI",
            "identifier": "86-00246",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "933132800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "850000290",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA MNCARE-DETROIT LAK",
            "identifier": "86-00411",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "150947",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "15473",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya McLaughlin, LPN
• Shawn S McNally, LICSW
• Carolyn McQueen
• Joseph McRaith, DO
• Laura Melin, DPT
• Vanessa V Menghini, MD
• Courtney Jo Menten, MS, LPCC
• Lawrance C Merck, CRNA
• Christopher Michael Metz, MD
• Kayla Dawn Meyer, MSW, LGSW

• Oral and Maxillofacial Surgery (Dentist) in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.