Dental One Over the Rhine

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14713 Issued in OH

Legal business name

DENTAL ONE OVER THE RHINE

Practice address

5 E Liberty St
Cincinnati, OH 45202-8202

Phone

(513) 721-6060

Fax

(513) 721-6072

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Manfred Schall, DDS

Title

Owner

Phone

(513) 721-6060

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1043432909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E LIBERTY ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452028202",
            "telephone_number": "513-721-6060",
            "fax_number": "513-721-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E LIBERTY ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452028202",
            "telephone_number": "513-721-6060",
            "fax_number": "513-721-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ONE OVER THE RHINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SCHALL",
        "authorized_official_first_name": "MANFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-721-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "14713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0691578",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.