Organization Active NPI

Lima Oral Sleep Center-Risolvato, LLC.

  • Health Maintenance Organization
  • Lima, OH
National Provider Identifier
1033551734
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
30-021809 Issued in OH
Legal business name
LIMA ORAL SLEEP CENTER-RISOLVATO, LLC.
Practice address
2115 Allentown Rd
Lima, OH 45805-1749
Phone
(419) 228-4036
Fax
(419) 228-6273
NPI assigned
Jul 23, 2013
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Dr. Erik Jon Risolvato, DDSNPI 1306854229
Title
Owner
Phone
(419) 228-4036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 30-021809 OH Primary

Addresses

Primary practice location

2115 Allentown Rd
Lima, OH 45805-1749

Mailing address

2115 Allentown Rd
Lima, OH 45805-1749
Phone (419) 228-4036

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1033551734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051749",
            "telephone_number": "419-228-4036",
            "fax_number": "419-228-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051749",
            "telephone_number": "419-228-4036",
            "fax_number": "419-228-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMA ORAL SLEEP CENTER-RISOLVATO, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "RISOLVATO",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-228-4036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OH",
            "license": "30-021809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.