Frank Mikkelsen DDS

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

30435 Issued in CA

Legal business name

FRANK MIKKELSEN DDS

Practice address

19060 Standard Rd Ste 4
Sonora, CA 95370-7560

Phone

(209) 532-4607

Fax

(209) 533-5487

NPI assigned

Jun 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Frank Mikkelsen, DDS

Title

Owner/Dentist

Phone

(209) 532-4607

Specialties & licenses 1

Addresses

Tax ID family

Frank Mikkelsen DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Seip Drug LLC

  • Community/Retail Pharmacy
  • Wadena, MN
  • NPI 1093923914
  NPD tax ID

Locations

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1922458488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19060 STANDARD RD STE 4",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953707560",
            "telephone_number": "209-532-4607",
            "fax_number": "209-533-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19060 STANDARD RD STE 4",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953707560",
            "telephone_number": "209-532-4607",
            "fax_number": "209-533-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK MIKKELSEN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "MIKKELSEN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "209-532-4607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "30435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Louise Foster, R1500630323
• Amanda Fournier
• Kathleen Ann Fox, RN, CNM, IBCLC
• Janelle Eileen Franco, RDH
• Frank E. Whitney, M.D., Inc.
• John Talbot Frank, PHARM.D.
• Chelsi E Franzese
• Emily Freda
• Dezirae Ashley Freeman, FNP-C
• Christopher Michael French, DMD

• Customized Equipment (DME) in Sonora, CA
• Providers in Sonora, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.