DR. MICHAEL J MISENCIK DDS
NPI 1902048754
Dentist in Lodi, OH

Q: What is Michael Misencik's NPI number?

The NPI number for Michael Misencik is 1902048754. It was assigned to this individual provider in the NPPES registry on March 25, 2009.

Q: What is Michael Misencik's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Misencik was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2009PECOS Enrolled

109 HARRIS ROAD, LODI, OH 44254(330) 302-4005 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Michael J Misencik Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL J MISENCIK DDS (NPI 1902048754) is an individual dentist in Lodi, Ohio, licensed in Ohio (018257) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902048754

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MICHAEL J MISENCIKCredential: DDS

Location Address109 HARRIS ROADLodi, OH 44254

Mailing Address1205 Canyon View RdSagamore Hills, OH 44067 · (216) 688-6349

Phone(330) 302-4005

Sole ProprietorNo

Enumeration DateMarch 25, 2009

Last NPPES UpdateJune 30, 2023

NPPES CertifiedJune 30, 2023

✔ NPI 1902048754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 018257

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

109 HARRIS ROAD, Lodi, OH 44254

Open in Google Maps ↗

Other Identifiers 1

Medicaid0666097OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael J Misencik Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44254 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Misencik's NPI number?

The NPI number for Michael Misencik is 1902048754. It was assigned to this individual provider in the NPPES registry on March 25, 2009.

Where is Michael Misencik located?

Michael Misencik practices at 109 Harris Road, Lodi, OH 44254. The listed phone number is (330) 302-4005.

What is Michael Misencik's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Michael Misencik enrolled in Medicare?

Yes. Michael Misencik is registered in the Medicare PECOS enrollment system.

What insurance does Michael Misencik accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Michael Misencik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Misencik was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.