Active NPI
Derrick Silva
- General Practice Dentistry
- Napoleon, OH
National Provider Identifier
1073172839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.025810
- Practice address
- 875 Westmoreland Ave
Napoleon, OH 43545-1260 - Phone
- (887) 216-9296
- NPI assigned
- Jun 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.025810 | OH | Primary |
Addresses
Primary practice location
875 Westmoreland Ave
Napoleon, OH 43545-1260
Mailing address
2046 Cummings Ave
Toledo, OH 43609-1906
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 |
|---|---|---|---|
| 30.025810 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1073172839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 CUMMINGS AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436091906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 WESTMORELAND AVE",
"city": "NAPOLEON",
"state": "OH",
"postal_code": "435451260",
"telephone_number": "887-216-9296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVA",
"first_name": "DERRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.025810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Napoleon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.