Organization Active NPI

Michael & David Rothan DDS, Inc

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1043654908
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30018277 Issued in OH
Legal business name
MICHAEL & DAVID ROTHAN DDS, INC
Practice address
11430 Hamilton Ave
Cincinnati, OH 45231-6104
Phone
(513) 825-6111
Fax
(513) 825-5947
NPI assigned
Apr 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
David Thomas Rothan, DENTIST
Title
Dentist
Phone
(513) 825-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30018277 OH Primary

Addresses

Primary practice location

11430 Hamilton Ave
Cincinnati, OH 45231-6104

Mailing address

11430 Hamilton Ave
Cincinnati, OH 45231-6104
Phone (513) 825-6111

Other names 1

  • Twin Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Michael and David Rothan DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11430 Hamilton Ave
Cincinnati, OH 45231
Phone (513) 825-6111

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1043654908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11430 HAMILTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452316104",
            "telephone_number": "513-825-6111",
            "fax_number": "513-825-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11430 HAMILTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452316104",
            "telephone_number": "513-825-6111",
            "fax_number": "513-825-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL & DAVID ROTHAN DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "ROTHAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "513-825-6111",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30018277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

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