Active NPI
Mica A Bartels, DMD
- Dentist
- Monroe Falls, OH
National Provider Identifier
1962552695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30021057
- Practice address
- 425 N Main St
Monroe Falls, OH 44262 - Phone
- (330) 688-4942
- Fax
- (330) 688-9064
- NPI assigned
- Jan 12, 2007
- Last updated
- Jun 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30021057 | OH | Primary |
Addresses
Primary practice location
425 N Main St
Monroe Falls, OH 44262
Mailing address
425 N. Main St
Monroe Falls, OH 44262
Phone (330) 688-4942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30021057 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munroe Falls Family Dentistry Co | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Munroe Falls, OH
- NPI 1740330489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1962552695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N. MAIN ST",
"city": "MONROE FALLS",
"state": "OH",
"postal_code": "44262",
"telephone_number": "330-688-4942",
"fax_number": "330-688-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N MAIN ST",
"city": "MONROE FALLS",
"state": "OH",
"postal_code": "44262",
"telephone_number": "330-688-4942",
"fax_number": "330-688-9064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTELS",
"first_name": "MICA",
"middle_name": "A",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30021057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.