Organization Active NPI

Dale R Siemer DDS Inc

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1164562088
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DALE R SIEMER DDS INC
Practice address
3666 Paxton Ave
Cincinnati, OH 45208-1568
Phone
(513) 321-3003
Fax
(513) 321-2523
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dale R Siemer, DDS
Title
President
Phone
(513) 321-3003

Specialties & licenses 1

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

Addresses

Primary practice location

3666 Paxton Ave
Cincinnati, OH 45208-1568

Mailing address

3666 Paxton Ave
Cincinnati, OH 45208-1568
Phone (513) 321-3003

National Provider Directory

National Provider Directory

Locations

3666 Paxton Ave
Cincinnati, OH 45208
Phone (513) 871-0684

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164562088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3666 PAXTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081568",
            "telephone_number": "513-321-3003",
            "fax_number": "513-321-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3666 PAXTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081568",
            "telephone_number": "513-321-3003",
            "fax_number": "513-321-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE R SIEMER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEMER",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-321-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.