Michelle T Ogonowski, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2014016658 Issued in MO

Practice address

1373 YMCA Dr
Festus, MO 63028-2617

Phone

(636) 937-6565

NPI assigned

Jun 24, 2014

Sex

Female

Sole proprietor

No

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 TX

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

State licenses

Practice roles

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.

• Christopher Koechner DMD

  • Dental Clinic/Center
  • Festus, MO
  • NPI 1114707189
  NPD (past)

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1871908350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 YMCA DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282617",
            "telephone_number": "636-937-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 YMCA DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282617",
            "telephone_number": "636-937-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGONOWSKI",
        "first_name": "MICHELLE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2014016658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational & Pain Management Professionals
• Occupational and Pain Management Professionals, Inc.
• Chizor Odibi, M.D.
• Allex Oelkers
• Evelyn Ofili, DMD
• Opco Festus, Mo, LLC
• Optical Shop Inc
• Christine Barbara Ormsby, MD
• Suzanne Orr
• David William Ortmann, D.C.

• Dentist in Festus, MO
• Providers in Festus, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.