Organization Active NPI

Michael J. Mihalcik, DMD, PA

  • General Practice Dentistry
  • Niceville, FL
National Provider Identifier
1912086802
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0006211 Issued in FL
Legal business name
MICHAEL J. MIHALCIK, DMD, PA
Practice address
704 Palm Blvd N
Niceville, FL 32578-1238
Phone
(850) 678-2184
Fax
(850) 678-4910
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael J Mihalcik, D.M.D., P.A.
Title
President
Phone
(850) 678-2184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN0006211 FL Primary

Addresses

Primary practice location

704 Palm Blvd N
Niceville, FL 32578-1238

Mailing address

704 Palm Blvd N
Niceville, FL 32578-1238
Phone (850) 678-2184

Other identifiers 1

IdentifierTypeStateIssuer
DN6211OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

704 Palm Blvd N
Niceville, FL 32578
Phone (850) 678-2184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912086802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 PALM BLVD N",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781238",
            "telephone_number": "850-678-2184",
            "fax_number": "850-678-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 PALM BLVD N",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781238",
            "telephone_number": "850-678-2184",
            "fax_number": "850-678-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. MIHALCIK, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIHALCIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-678-2184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0006211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DN6211",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.