John Frederick Menard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

032870 Issued in NY

Practice address

6 E Park Row
Clinton, NY 13323-1544

Phone

(315) 853-2412

Fax

(315) 853-3892

NPI assigned

Jul 31, 2006

Sex

Male

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 NY

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

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.

• Johnf Menard DDS PC

  • General Practice Dentistry
  • Clinton, NY
  • NPI 1154445146
  NPD (past) Authorized official
• Clinton Dental P.C.

  • General Practice Dentistry
  • Clinton, NY
  • NPI 1437810900
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952317810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8153 KELLOGG ST",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133234036",
            "telephone_number": "315-853-3893",
            "fax_number": "315-853-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E PARK ROW",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231544",
            "telephone_number": "315-853-2412",
            "fax_number": "315-853-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENARD",
        "first_name": "JOHN",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "032870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey McCumber
• Tara E. McKee, PHD
• Carol McQueary
• Megamotion Physical Therapy
• Megamotion,LLC
• Michael Tucciarone D.C.
• Jaqueline G Michel
• Ryan Miglin, PHARM.D.
• Karley Miller, COTA/L
• Jacquelyn Peters Mitchell, RPH

• General Practice Dentistry in Clinton, NY
• Providers in Clinton, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.