Myorthos Ohio Orthodontics - Salvatore Manente DDS Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MYORTHOS OHIO ORTHODONTICS - SALVATORE MANENTE DDS INC

Practice address

2706 Observatory Ave
Cincinnati, OH 45208-2108

Phone

(513) 533-4200

NPI assigned

Oct 14, 2021

Organization subpart

Yes

Parent organization

MYORTHOS OHIO ORTHODONTICS - SALVATORE MANENTE DDS INCAs reported in NPPES

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

Authorized official

Name

Casey Lonabocker

Title

VP Operations & Strategy

Phone

(617) 535-3364

Specialties & licenses 1

Addresses

Tax ID family

Myorthos Ohio Orthodontics - Salvatore Manente DDS Inc2 organizations share this tax ID, including this one

Part of

Myorthos Ohio Orthodontics - Salvatore Manente DDS Inc

Other organizations with this tax ID 1

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

• Myorthos Ohio Orthodontics - Salvatore Manente DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boston, MA
  • NPI 1053074229
  NPD tax ID

Locations

Practitioners 2

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.

• Deepa Gollamudi, DMD

  • Dentist
  • Cincinnati, OH
  • NPI 1922864131
  NPD
• Mariana P Levy Depolack, D.D.S

  • Pediatric Dentistry
  • Cincinnati, OH
  • NPI 1649556051

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1194488353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 DARTMOUTH ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 OBSERVATORY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082108",
            "telephone_number": "513-533-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYORTHOS OHIO ORTHODONTICS - SALVATORE MANENTE DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYORTHOS OHIO ORTHODONTICS - SALVATORE MANENTE DDS INC",
        "enumeration_date": "2021-10-14",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "LONABOCKER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "VP OPERATIONS & STRATEGY",
        "authorized_official_telephone_number": "617-535-3364"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myeyedr Optometry of Ohio, LLC (MyEyeDr.)
• Myeyedr Optometry of Ohio, LLC (MyEyeDr.)
• Myeyedr Optometry of Ohio, LLC (MyEyeDr.)
• Myeyedr Optometry of Ohio, LLC (MyEyeDr.)
• Myeyedr Optometry of Ohio, LLC (MyEyeDr.)
• Lauren Myre
• James A. Myres, R.PH.
• Danyelle Myrick-Lee
• Hazel M Myrick, RPH
• Michelle Myrick

• Orthodontics and Dentofacial Orthopedics Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.