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Deactivated NPI 1417295049 Deactivated / Inactive NPI Male Practitioner

Dr. Michael R. Gingras , DMD

Dentist • Nogales, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Gingras has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 16, 2013
NPI Deactivation Date December 01, 2021
Total Practice Duration ~8 Years of Practice (2013 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Gingras, DMD was a registered Dentist practicing in Nogales, AZ. Throughout an active medical career spanning 8 years, Dr. Gingras provided care at the practice location at 1852 N MASTICK WAY until profile deactivation on 2021-12-01.

Practice Location & Contact Primary Location

Practice Address

1852 N Mastick Way

Nogales, AZ 856211063

Telephone 5202811550
Fax 5202812335
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Nogales, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.8 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Nogales, AZ (1999 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ D008638

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1023035524

Doctor of Medicine (M.D.)

NPI 1023235934

Doctor of Medicine (M.D.)

Teresa Colunga , FNP-C

Nurse Practitioner - Family

NPI 1023359429

Family Nurse Practitioner (Certified)

Francisco Sandoval , NP-C

Nurse Practitioner - Family

NPI 1043233505

Nurse Practitioner (Certified)

Dr. Valerie Wohl , MD

Family Medicine

NPI 1053393298

Doctor of Medicine (M.D.)

NPI 1073196416

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 01, 2021

Record deactivated on December 01, 2021

NPI Profile Active January 15, 2016

NPI status registered as active in NPPES database

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Updated Practice Location January 15, 2016

Registered at 1852 N MASTICK WAY, NOGALES, AZ 856211063 (Tel: 5202811550)

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Updated Business Mailing Address January 15, 2016

Registered at 1852 N MASTICK WAY, APT 70, NOGALES, AZ 856211063 (Tel: 5207612133)

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Provider Name / Credentials Updated January 15, 2016

Recorded as MICHAEL GINGRAS, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2016

Dentist (License #D008638 in AZ)

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Initial NPI Registration & Enumeration January 16, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417295049
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2013
Last Update: January 15, 2016
Deactivation Date: December 01, 2021

Mailing Address

1852 N Mastick Way, Apt 70

Nogales, AZ 856211063

Phone: 5207612133

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.