Individual provider Active NPI

Robert Scott Meuselbach, D.D.S.

  • Dentist
  • Dayton, OH
National Provider Identifier
1245420702
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-22596 Issued in OH
Practice address
3609 N Dixie Dr
Dayton, OH 45414-5232
Phone
(937) 278-7954
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-22596 OH Primary

Addresses

Primary practice location

3609 N Dixie Dr
Dayton, OH 45414-5232

Mailing address

3609 N Dixie Dr
Dayton, OH 45414-5232
Phone (937) 278-7954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150428002397 OH Order and Referring Only - DentistPractitioner - Dentist 5597084376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-22596OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1245420702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 N DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145232",
            "telephone_number": "937-278-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 N DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145232",
            "telephone_number": "937-278-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEUSELBACH",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-22596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.