NPIMap

Organization Active NPI

Family Tree Dental D Austin Rehl DDS and Peter E Lovejoy DDS LLC

Doing business as Family Tree Dental Outreach

  • General Practice Dentistry
  • Marietta, OH
National Provider Identifier
1124429212
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30022798 Issued in OH
Legal business name
FAMILY TREE DENTAL D AUSTIN REHL DDS AND PETER E LOVEJOY DDS LLC
Doing business as
Family Tree Dental Outreach
Practice address
30 Acme St
Marietta, OH 45750-3306
Phone
(740) 373-3136
NPI assigned
Sep 9, 2014
Last updated
Sep 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Dr. Donald Austin Rehl, DDSNPI 1316108277
Title
Partner/ Managing Member
Phone
(740) 374-7060

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30022798 OH Primary

Addresses

Primary practice location

30 Acme St
Marietta, OH 45750-3306

Mailing address

319 Colegate Dr
Marietta, OH 45750-9558
Phone (740) 374-7060

Other names 1

  • Family Tree Dental Outreach Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Tree Dental D Austin Rehl DDS and Peter E Lovejoy DDS LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1124429212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509558",
            "telephone_number": "740-374-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ACME ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503306",
            "telephone_number": "740-373-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE DENTAL D AUSTIN REHL DDS AND PETER E LOVEJOY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "REHL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "PARTNER/ MANAGING MEMBER",
        "authorized_official_telephone_number": "740-374-7060",
        "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": "30022798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Tree Dental Outreach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.