NPIMap

Organization Active NPI

Van Buren Dental

  • Public Health Dentistry
  • Kettering, OH
National Provider Identifier
1215641535
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
VAN BUREN DENTAL
Practice address
1950 S Smithville Rd
Kettering, OH 45420-1446
Phone
(937) 253-9115
Fax
(937) 253-3976
NPI assigned
Jan 11, 2023
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Dr. James M Shepler III, DDS
Title
Owner
Phone
(937) 253-9115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X NU Primary

Addresses

Primary practice location

1950 S Smithville Rd
Kettering, OH 45420-1446

Mailing address

1950 S Smithville Rd
Kettering, OH 45420-1446
Phone (937) 253-9115

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1215641535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 S SMITHVILLE RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201446",
            "telephone_number": "937-253-9115",
            "fax_number": "937-253-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S SMITHVILLE RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201446",
            "telephone_number": "937-253-9115",
            "fax_number": "937-253-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BUREN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "SHEPLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-253-9115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.