Individual provider Active NPI

David Plantz, DDS

  • Dentist
  • Steubenville, OH
National Provider Identifier
1023491370
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.024551 Issued in OH
Practice address
2700 Sunset Blvd
Steubenville, OH 43952-1158
Phone
(740) 264-6811
NPI assigned
Jul 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.024551 OH Primary

Addresses

Primary practice location

2700 Sunset Blvd
Steubenville, OH 43952-1158

Mailing address

2700 Sunset Blvd
Steubenville, OH 43952-1158
Phone (740) 264-6811

Other identifiers 1

IdentifierTypeStateIssuer
0138111MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20151216002686 OH Order and Referring Only - DentistPractitioner - Dentist 7315248333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.024551OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1023491370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SUNSET BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521158",
            "telephone_number": "740-264-6811",
            "fax_number": "740-264-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SUNSET BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521158",
            "telephone_number": "740-264-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANTZ",
        "first_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-06",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138111",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.