Individual provider Active NPI

Scott Allen Malavich, DDS

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1255619391
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30 023510 Issued in OH
Practice address
11438 Lebanon Rd Unit a
Ronald Spritzer DDS
Cincinnati, OH 45241-6201
Phone
(614) 266-2321
NPI assigned
Jul 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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 023510 OH Primary

Addresses

Primary practice location

11438 Lebanon Rd Unit a
Ronald Spritzer DDS
Cincinnati, OH 45241-6201

Mailing address

11438 Lebanon Rd Unit a
Ronald Spritzer DDS
Cincinnati, OH 45241-6201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30 023510OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1255619391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11438 LEBANON RD UNIT A",
            "address_2": "RONALD SPRITZER DDS",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452416201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11438 LEBANON RD UNIT A",
            "address_2": "RONALD SPRITZER DDS",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452416201",
            "telephone_number": "614-266-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVICH",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30 023510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 27, 2015; 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.