Individual provider Active NPI

Michael J Umerich

  • General Practice Dentistry
  • Dickson City, PA
National Provider Identifier
1992366694
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS042254 Issued in PA
Practice address
917 Main St
Dickson City, PA 18519-1337
Phone
(570) 383-0266
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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 DS042254 PA Primary

Addresses

Primary practice location

917 Main St
Dickson City, PA 18519-1337

Mailing address

917 Main St
Dickson City, PA 18519-1337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20190820000258 PA Practitioner - Dentist 7618205329 Practice locations: Dickson City, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1992366694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191337",
            "telephone_number": "570-383-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMERICH",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

Verify at the official NPI Registry.