Forest Park Dental, LLC- John P Harmeyer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19904 Issued in OH

Legal business name

FOREST PARK DENTAL, LLC- JOHN P HARMEYER, DDS

Practice address

1295 Kemper Meadow Dr
Cincinnati, OH 45240-1633

Phone

(513) 648-9900

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John Patrick Harmeyer, DDS

Title

Owner

Phone

(513) 648-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Forest Park Dental Doing business as

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1083165385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 KEMPER MEADOW DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452401633",
            "telephone_number": "513-648-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 KEMPER MEADOW DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452401633",
            "telephone_number": "513-648-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PARK DENTAL, LLC- JOHN P HARMEYER, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "HARMEYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-648-9900",
        "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": "19904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238577",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Park Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Oct 21, 2016; 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.