VINOD MIRIYALA DDS BDS MPH NPI 1225055940

NPI Information

NPI: 1225055940
Provider Name: VINOD MIRIYALA, DDS, BDS, MPH
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
601 N BREIEL BLVD UNIT B
MIDDLETOWN, OH
ZIP 45042
Phone: (513) 454-1111
Get Directions

Vinod Miriyala, DDS, BDS, MPH is a pediatric dentistry dentist in Middletown, OH. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Vinod Miriyala, DDS, BDS, MPH NPI is 1225055940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 N BREIEL BLVD UNIT B
MIDDLETOWN, OH
ZIP 45042-899
Phone: (513) 454-1111

The NPI 1225055940 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/17/2006 and was last updated on 6/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		2901019042	MICHIGAN	No
2	122300000X	Dentist		30-023190	OHIO	No
3	122300000X	Dentist		3894	WEST VIRGINIA	No
4	1223P0221X	Dentist	Pediatric Dentistry	34	WEST VIRGINIA	No
5	1223P0221X	Dentist	Pediatric Dentistry	30-023190	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	3810018398	MEDICAID	WEST VIRGINIA
2	3057883	MEDICAID	OHIO
3	7100236110	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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