Active NPI
Ryan Centini, DVM
- Other Specialist/Technologist
- Fairborn, OH
National Provider Identifier
1255725206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- VET.11467
- Practice address
- 726 Preservation St
Fairborn, OH 45324-4492 - Phone
- (801) 712-0989
- NPI assigned
- Mar 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | VET.11467 | OH | Primary |
Addresses
Primary practice location
726 Preservation St
Fairborn, OH 45324-4492
Mailing address
726 Preservation St
Fairborn, OH 45324-4492
Phone (801) 712-0989
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
| License | State | Type | Specialty |
|---|---|---|---|
| VET.11467 | OH | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1255725206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 PRESERVATION ST",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453244492",
"telephone_number": "801-712-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 PRESERVATION ST",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453244492",
"telephone_number": "801-712-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTINI",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-26",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "OH",
"license": "VET.11467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairborn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.