Organization Active NPI

Joseph Dental of Wheelersburg LLC

  • General Practice Dentistry
  • Wheelersburg, OH
National Provider Identifier
1134515323
Registry record updated Apr 14, 2015
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 OF WHEELERSBURG LLC
Practice address
8714 Tennyson Ave
Wheelersburg, OH 45694-1932
Phone
(740) 574-8044
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Dr. Joe Robert Joseph Jr., DDS
Title
Owner
Phone
(614) 777-9884

Specialties & licenses 1

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

Addresses

Primary practice location

8714 Tennyson Ave
Wheelersburg, OH 45694-1932

Mailing address

8714 Tennyson Ave
Wheelersburg, OH 45694-1932

Other names 1

  • Wheelersburg Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8714 Tennyson Ave
Wheelersburg, OH 45694
Phone (740) 464-8001

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": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1134515323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 TENNYSON AVE",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8714 TENNYSON AVE",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941932",
            "telephone_number": "740-574-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH DENTAL OF WHEELERSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "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": "614-777-9884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "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": "Wheelersburg Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheelersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.