Individual provider Active NPI

Gina Lyn Meylan-Senkowski

  • Dentist
  • Saginaw, MI
National Provider Identifier
1811022379
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018380 Issued in MI
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4424058MedicaidMI

Other names 1

  • Dr. Gina Lyn Meylan Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150626001346 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8022320431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gina Meylan DDS PLC CurrentSince Apr 17, 2022 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

Verify at the official NPI Registry.