John D Michalak, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9451 Issued in CT

Practice address

420 E Main St
Building 3 Suite 17
Branford, CT 06405-2940

Phone

(203) 488-6553

Fax

(203) 481-6691

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1831240035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E MAIN ST",
            "address_2": "BUILDING 3 SUITE 17",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052940",
            "telephone_number": "203-488-6553",
            "fax_number": "203-481-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E MAIN ST",
            "address_2": "BUILDING 3 SUITE 17",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052940",
            "telephone_number": "203-488-6553",
            "fax_number": "203-481-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALAK",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Anne Mendillo, DDS
• James Hamilton Mendillo, DMD
• Allegra Rose Menniti, RN
• Alan Meyers, M.D.
• David Mark Meyers, LCSW
• Christopher Mignosa, LCSW
• Linda Milici, MD
• Denis John Miller, MD
• Jennifer Miller
• Katy Miller, MS, LPC, NCC

• General Practice Dentistry in Branford, CT
• Providers in Branford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.