NPIMap

Organization Active NPI

Ohio Valley Dental

  • Dentist
  • Saint Clairsville, OH
National Provider Identifier
1053561191
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18079 Issued in OH
Legal business name
OHIO VALLEY DENTAL
Practice address
67800 Mall Ring Road
C/O Sears
St. Clairsville, OH 43950
Phone
(740) 695-5535
Fax
(740) 695-5958
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Adrienne Rochelle Miner, DDS
Title
Owner
Phone
(740) 695-5535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18079 OH Primary

Addresses

Primary practice location

67800 Mall Ring Road
C/O Sears
St. Clairsville, OH 43950

Mailing address

67800 Mall Ring Road
C/O Sears
St. Clairsville, OH 43950
Phone (740) 695-5535

National Provider Directory

National Provider Directory

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": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1053561191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67800 MALL RING ROAD",
            "address_2": "C/O SEARS",
            "city": "ST. CLAIRSVILLE",
            "state": "OH",
            "postal_code": "43950",
            "telephone_number": "740-695-5535",
            "fax_number": "740-695-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67800 MALL RING ROAD",
            "address_2": "C/O SEARS",
            "city": "ST. CLAIRSVILLE",
            "state": "OH",
            "postal_code": "43950",
            "telephone_number": "740-695-5535",
            "fax_number": "740-695-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-695-5535",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "18079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.