Organization Active NPI

Vienna Dental Center, Bart L. James, DDS, Roger L. Clouse, DDS, LTD.

Doing business as Vienna Dental Center

  • General Practice Dentistry
  • Vienna, OH
National Provider Identifier
1124390356
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.21956 Issued in OH
Legal business name
VIENNA DENTAL CENTER, BART L. JAMES, DDS, ROGER L. CLOUSE, DDS, LTD.
Doing business as
Vienna Dental Center
Practice address
4400 Warren Sharon Rd
Vienna, OH 44473-8616
Phone
(330) 394-1672
Fax
(330) 394-1376
NPI assigned
Feb 3, 2012
Last updated
Feb 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Dr. Bart L James, D.D.S.NPI 1134236532
Title
Owner
Phone
(330) 394-1672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.21956 OH Primary

Addresses

Primary practice location

4400 Warren Sharon Rd
Vienna, OH 44473-8616

Mailing address

PO Box 458
Vienna, OH 44473-0458
Phone (330) 394-1672

Other identifiers 1

IdentifierTypeStateIssuer
2605327MedicaidOH

Other names 1

  • Vienna Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

4400 Warren Sharon Rd
Vienna, OH 44473
Phone (330) 394-1672

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1124390356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "VIENNA",
            "state": "OH",
            "postal_code": "444730458",
            "telephone_number": "330-394-1672",
            "fax_number": "330-394-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 WARREN SHARON RD",
            "city": "VIENNA",
            "state": "OH",
            "postal_code": "444738616",
            "telephone_number": "330-394-1672",
            "fax_number": "330-394-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIENNA DENTAL CENTER, BART L. JAMES, DDS, ROGER L. CLOUSE, DDS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-394-1672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.21956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2605327",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vienna Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.