Active NPI
Mary Hudepohl
- Dentist
- Cincinnati, OH
National Provider Identifier
1063996957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.025453
- Practice address
- 6371 Bridgetown Rd
Cincinnati, OH 45248-2943 - Phone
- (513) 746-8228
- NPI assigned
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.025453 | OH | Primary |
Addresses
Primary practice location
6371 Bridgetown Rd
Cincinnati, OH 45248-2943
Mailing address
6187 Shawna CT
Liberty Township, OH 45044-9680
Phone (513) 519-5529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.025453 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1063996957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6187 SHAWNA CT",
"city": "LIBERTY TOWNSHIP",
"state": "OH",
"postal_code": "450449680",
"telephone_number": "513-519-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6371 BRIDGETOWN RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452482943",
"telephone_number": "513-746-8228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDEPOHL",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.025453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.