Active NPI
Shawn a Dornhecker DDS & Jesal a Patel DDS Inc
- General Practice Dentistry
- Fairfield TWP, OH
National Provider Identifier
1033200860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30021008 &30021009
- Legal business name
- SHAWN A DORNHECKER DDS & JESAL A PATEL DDS INC
- Practice address
- 3500 Siaron Way
Fairfield TWP, OH 45011 - Phone
- (513) 815-3166
- Fax
- (513) 829-5499
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn A Dornhecker, DDS
- Title
- President
- Phone
- (513) 518-2463
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30021008 &30021009 | OH | Primary |
Addresses
Primary practice location
3500 Siaron Way
Fairfield TWP, OH 45011
Mailing address
3500 Siaron Way
Fairfield TWP, OH 45011
Phone (513) 815-3166
National Provider Directory
National Provider DirectoryLocations
1251 Nilles Rd
Ste 20
Fairfield, OH 45014
Phone (513) 341-8291
3500 Siaron Way
Fairfield Twp, OH 45011
Phone (513) 815-3166
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Fairfield TWP, OH
- NPI 1851482640
-
- General Practice Dentistry
- Fairfield TWP, OH
- NPI 1265523187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582502400000",
"number": "1033200860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 SIARON WAY",
"city": "FAIRFIELD TWP",
"state": "OH",
"postal_code": "45011",
"telephone_number": "513-815-3166",
"fax_number": "513-829-5499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 SIARON WAY",
"city": "FAIRFIELD TWP",
"state": "OH",
"postal_code": "45011",
"telephone_number": "513-815-3166",
"fax_number": "513-829-5499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAWN A DORNHECKER DDS & JESAL A PATEL DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A",
"authorized_official_last_name": "DORNHECKER",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-518-2463",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30021008 &30021009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield TWP, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.