Jon Bruce Dove, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

19539 Issued in OH

Practice address

601 W Boundary St
Perrysburg, OH 43551-1201

Phone

(419) 872-9191

NPI assigned

Sep 27, 2007

Last updated

Dec 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jon B. Dove, D.D.S. a Professional LLC

  • Dentist
  • Perrysburg, OH
  • NPI 1043325368
  NPD (past) Authorized official

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1033306675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W BOUNDARY ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511201",
            "telephone_number": "419-872-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W BOUNDARY ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511201",
            "telephone_number": "419-872-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVE",
        "first_name": "JON",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "803897",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bouchra S Doumet, MD
• Mahdi Nicola Doumet, MD
• Alexis Douville, LPCC
• Timi Douvlis
• Amanda Dove, NP-C
• Down & Hire LLC
• Dr. Adnan Ahmed DDS, Inc. (Dental Innovations)
• Dr. James M Croak, Inc.
• Dr. Theodore Bowlus, DPM, Inc.
• Lavinia R Dreier

• Dentist in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.