Organization Active NPI

Jan S Labeda D.D.S., Inc

  • Dental Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1205959798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAN S LABEDA D.D.S., INC
Practice address
4553 Elmont Dr
Cincinnati, OH 45245-1008
Phone
(513) 528-9553
NPI assigned
Apr 9, 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
Jan Stefan Labeda
Title
President
Phone
(513) 732-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4553 Elmont Dr
Cincinnati, OH 45245-1008

Mailing address

4553 Elmont Dr
Cincinnati, OH 45245-1008
Phone (513) 528-9553

Other names 1

  • Eastgate Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jan S Labeda DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4553 Elmont Dr
Cincinnati, OH 45245
Phone (513) 528-9553

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205959798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 ELMONT DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451008",
            "telephone_number": "513-528-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 ELMONT DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451008",
            "telephone_number": "513-528-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN S LABEDA D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LABEDA",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "STEFAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-732-6660"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastgate Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.