Franklin Bautista Maximo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-019330 Issued in OH

Practice address

1109 Woodlawn Ave
Cambridge, OH 43725-3025

Phone

(740) 439-4799

Fax

(740) 439-1716

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Woodlawn Dental Center, Inc.

  • General Practice Dentistry
  • Cambridge, OH
  • NPI 1740321777

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1164553046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 WOODLAWN AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437253025",
            "telephone_number": "740-439-4799",
            "fax_number": "740-439-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 WOODLAWN AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437253025",
            "telephone_number": "740-439-4799",
            "fax_number": "740-439-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXIMO",
        "first_name": "FRANKLIN",
        "middle_name": "BAUTISTA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-019330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0832602",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2445563",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Jane Mason, MSW
• Sandra Massullo-Schubert, M.D
• Stephanie L Mattern-Degenhart
• Lori A Matthews, LPN
• Jennifer L Maurer, DNP, APRN, FNP-BC
• Zosimo Maximo, M.D.
• Kayla May
• Brittany Mayle
• Jarika Jean Mayle, RN
• Sarah K McAfee, LSW

• General Practice Dentistry in Cambridge, OH
• Providers in Cambridge, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.