Individual provider Active NPI

Marc Mingel

  • General Practice Dentistry
  • Quincy, MA
National Provider Identifier
1831402957
Registry record updated Jul 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855494 Issued in MA
Practice address
1261 Furnace Brook Pkwy
Quincy, MA 02169-4721
Phone
(617) 471-6970
NPI assigned
Jul 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1855494 MA Primary

Addresses

Primary practice location

1261 Furnace Brook Pkwy
Quincy, MA 02169-4721

Mailing address

48 Columbia St
Brookline, MA 02446-2408
Phone (646) 554-3241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160208001478 FL Order and Referring Only - DentistPractitioner - Dentist 1658675996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855494MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
North Miami Dental and Orthodontics General Practice CurrentSince Jul 21, 2024 Accepting new patients
Family Dental Associates PA Past Accepting new patients

Locations

3015 Bayview Dr
Ste C
Ft Lauderdale, FL 33306
Phone (954) 566-1548

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1279411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279411200000",
    "number": "1831402957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 COLUMBIA ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462408",
            "telephone_number": "646-554-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 FURNACE BROOK PKWY",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694721",
            "telephone_number": "617-471-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGEL",
        "first_name": "MARC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-18",
        "last_updated": "2010-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.