DR. FREDRICK A MENGHINI D.D.S. M.D. NPI 1801876792

NPI Information

NPI: 1801876792
Provider Name: DR. FREDRICK A MENGHINI, D.D.S., M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
1903 S 6TH ST
BRAINERD, MN
ZIP 56401
Phone: (218) 829-1728
Get Directions

DR. Fredrick A Menghini, D.D.S., M.D. is an oral and maxillofacial surgery dentist in Brainerd, MN with 23 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Fredrick A Menghini, D.D.S., M.D. NPI is 1801876792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MAYO MEDICAL SCHOOL
Graduation Year:2001

The provider's business location address is:

1903 S 6TH ST
BRAINERD, MN
ZIP 56401-599
Phone: (218) 829-1728
Fax: (218) 829-1729

The NPI 1801876792 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), Power Mobility Devices.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 5/11/2011.

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	1223S0112X	Dentist	Oral and Maxillofacial Surgery	D11406	MINNESOTA	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	Other Provider Identifier Issuer
1	86-00246	OTHER	MINNESOTA	MEDICA MNCARE-BEMIDJI
2	850000039	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
3	850000290	OTHER	MINNESOTA	RAILROAD MEDICARE
4	86-00245	OTHER	MINNESOTA	MEDICA MNCARE-BRAINERD
5	U81530	MEDICARE UPIN	MINNESOTA
6	150947	OTHER	MINNESOTA	UCARE
7	15473	OTHER	MINNESOTA	DORAL DENTAL
8	86-00244	OTHER	MINNESOTA	MEDICA MNCARE-LITTLE FALL
9	86-00411	OTHER	MINNESOTA	MEDICA MNCARE-DETROIT LAK
10	933132800	MEDICAID	MINNESOTA
11	76B22-ME	OTHER	MINNESOTA	BLUE PLUS MNCARE

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: 5/5/2024

NPI Synchronization or Removal

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