Organization Active NPI

Peter J Shempp DDS Inc

  • Dentist
  • Dayton, OH
National Provider Identifier
1043432818
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16876 Issued in OH
Legal business name
PETER J SHEMPP DDS INC
Practice address
3550 Far Hills Ave
Dayton, OH 45429-2502
Phone
(937) 298-0908
Fax
(937) 298-3318
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Peter J Shempp, DDSNPI 1518146653
Title
President
Phone
(937) 298-0908

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 16876 OH Primary

Addresses

Primary practice location

3550 Far Hills Ave
Dayton, OH 45429-2502

Mailing address

3550 Far Hills Ave
Dayton, OH 45429-2502
Phone (937) 298-0908

National Provider Directory

National Provider Directory

Locations

3550 Far Hills Ave
Kettering, OH 45429
Phone (937) 298-5239

Practitioners & affiliated clinicians

Practitioners 1

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1043432818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292502",
            "telephone_number": "937-298-0908",
            "fax_number": "937-298-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292502",
            "telephone_number": "937-298-0908",
            "fax_number": "937-298-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J SHEMPP DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "SHEMPP",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-298-0908",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "16876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.