Organization Active NPI

Theodore J Willmann DDS Inc

  • Dentist
  • Celina, OH
National Provider Identifier
1255786380
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.023069 Issued in OH
Legal business name
THEODORE J WILLMANN DDS INC
Practice address
1304 Meadowview Dr
Celina, OH 45822-1200
Phone
(419) 586-4738
Fax
(419) 586-5222
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Mrs. Sarah L Willmann, DDSNPI 1265662902
Title
VP
Phone
(419) 586-4738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 30.023069 OH Primary

Addresses

Primary practice location

1304 Meadowview Dr
Celina, OH 45822-1200

Mailing address

1304 Meadowview Dr
Celina, OH 45822-1200
Phone (419) 586-4738

Other names 1

  • Willmann Dental Other name

National Provider Directory

National Provider Directory

Locations

1304 Meadowview Dr
Celina, OH 45822
Phone (419) 586-4738

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1255786380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 MEADOWVIEW DR",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221200",
            "telephone_number": "419-586-4738",
            "fax_number": "419-586-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 MEADOWVIEW DR",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221200",
            "telephone_number": "419-586-4738",
            "fax_number": "419-586-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE J WILLMANN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "WILLMANN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "419-586-4738",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willmann Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Celina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.