NPIMap

Organization Active NPI

Amelia East Family Dentistry, Inc.

  • Dentist
  • Amelia, OH
National Provider Identifier
1124675186
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AMELIA EAST FAMILY DENTISTRY, INC.
Practice address
2200 State Route 125
Amelia, OH 45102-9758
Phone
(513) 734-6614
NPI assigned
Aug 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Dawn Lang
Title
Office Manager
Phone
(513) 734-6614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2200 State Route 125
Amelia, OH 45102-9758

Mailing address

2200 State Route 125
Amelia, OH 45102-9758
Phone (513) 734-6614

National Provider Directory

National Provider Directory

Locations

2200 State Route 125
Amelia, OH 45102
Phone (513) 734-6614

Practitioners & affiliated clinicians

Practitioners 2

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": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1124675186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 STATE ROUTE 125",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451029758",
            "telephone_number": "513-734-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 STATE ROUTE 125",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451029758",
            "telephone_number": "513-734-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA EAST FAMILY DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-734-6614"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amelia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.