Individual provider Active NPI

Michael Dewitt Farmer, D.M.D.

  • General Practice Dentistry
  • Oxford, OH
National Provider Identifier
1891983862
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.022669 Issued in OH
Practice address
5239 Morning Sun Rd
Oxford, OH 45056-8928
Phone
(513) 523-4018
Fax
(513) 523-3548
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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 30.022669 OH Primary

Addresses

Primary practice location

5239 Morning Sun Rd
Oxford, OH 45056-8928

Mailing address

5239 Morning Sun Rd
P.O. Box 366
Oxford, OH 45056-8928
Phone (513) 523-4018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170103001880 OH Order and Referring Only - Other (Non-Physician) 5395026462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.022669OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1891983862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5239 MORNING SUN RD",
            "address_2": "P.O. BOX 366",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450568928",
            "telephone_number": "513-523-4018",
            "fax_number": "513-523-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5239 MORNING SUN RD",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450568928",
            "telephone_number": "513-523-4018",
            "fax_number": "513-523-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "MICHAEL",
        "middle_name": "DEWITT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.022669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

Verify at the official NPI Registry.