Organization Active NPI

Shawn a Dornhecker DDS & Jesal a Patel DDS Inc

  • General Practice Dentistry
  • Fairfield TWP, OH
National Provider Identifier
1033200860
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30021008 &30021009 Issued in OH
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

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Shawn A Dornhecker, DDSNPI 1851482640
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.