Active NPI
Gina Lyn Meylan-Senkowski
- Dentist
- Saginaw, MI
National Provider Identifier
1811022379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901018380
- Practice address
- 4933 Mackinaw Rd
Saginaw, MI 48603-7248 - Phone
- (989) 792-1593
- Fax
- (989) 792-6003
- NPI assigned
- Feb 23, 2007
- Last updated
- Jun 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2901018380 | MI | |
| Dentist | 122300000X | 2901018380 | MI | Primary |
Addresses
Primary practice location
4933 Mackinaw Rd
Saginaw, MI 48603-7248
Mailing address
3737 E Monroe Rd
Midland, MI 48642-8836
Phone (989) 486-1219
Other practice location 1
220 W Garfield Ave
Charlevoix, MI 49720-1631
Phone (231) 547-6523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4424058 | Medicaid | MI |
Other names 1
- Dr. Gina Lyn Meylan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150626001346 | MI | Order and Referring Only - Oral Surgery | 8022320431 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gina Meylan DDS PLC | Current | Accepting new patients |
Locations
4933 Mackinaw Rd
Saginaw, MI 48603
Phone (989) 792-1593
Organizations & group practices 1
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": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1811022379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 E MONROE RD",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486428836",
"telephone_number": "989-486-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4933 MACKINAW RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486037248",
"telephone_number": "989-792-1593",
"fax_number": "989-792-6003"
}
],
"practiceLocations": [
{
"address_1": "220 W Garfield Ave",
"address_purpose": "LOCATION",
"city": "Charlevoix",
"state": "MI",
"postal_code": "497201631",
"country_code": "US",
"telephone_number": "231-547-6523",
"fax_number": "231-547-6238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYLAN-SENKOWSKI",
"first_name": "GINA",
"middle_name": "LYN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "2901018380",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901018380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4424058",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "MEYLAN",
"middle_name": "LYN",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.