Active NPI
Jan S Labeda D.D.S., Inc
- Dental Clinic/Center
- Cincinnati, OH
National Provider Identifier
1205959798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Jan S Labeda DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Batavia, OH
- NPI 1588787352
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.
-
- Dental Clinic/Center
- Batavia, OH
- NPI 1588787352
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Cincinnati, OH
- NPI 1730202292
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.