Organization Active NPI

Joseph Dental Group of Van Wert

  • General Practice Dentistry
  • Van Wert, OH
National Provider Identifier
1104186550
Registry record updated May 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19829 Issued in OH
Legal business name
JOSEPH DENTAL GROUP OF VAN WERT
Practice address
1142 Westwood Dr
Van Wert, OH 45891-2449
Phone
(419) 605-5159
Fax
(419) 238-9193
NPI assigned
May 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2012

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

Authorized official

Name
Dr. Joe Robert Joseph, D.D.S.
Title
Owner
Phone
(419) 605-5159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19829 OH Primary

Addresses

Primary practice location

1142 Westwood Dr
Van Wert, OH 45891-2449

Mailing address

1142 Westwood Dr
Van Wert, OH 45891-2449
Phone (419) 605-5159

Other names 1

  • Westwood Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1142 Westwood Dr
Van Wert, OH 45891
Phone (419) 238-9368

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": "1337385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337385600000",
    "number": "1104186550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912449",
            "telephone_number": "419-605-5159",
            "fax_number": "419-238-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912449",
            "telephone_number": "419-605-5159",
            "fax_number": "419-238-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH DENTAL GROUP OF VAN WERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-19",
        "last_updated": "2012-05-19",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-605-5159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westwood Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Wert, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2012; 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.