NPIMap

Organization Active NPI

Dentists at Hyde Park Plaza, PC, Inc

Doing business as Dentists at Hyde Park Plaza

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1255994463
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTISTS AT HYDE PARK PLAZA, PC, INC
Doing business as
Dentists at Hyde Park Plaza
Practice address
3802 Paxton Ave Ste 12a
Cincinnati, OH 45209-2399
Phone
(513) 898-1194
NPI assigned
Apr 15, 2019
Last updated
Mar 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Dr. Bach X Nguyen, DDS
Title
Owner/DDS
Phone
(513) 898-1194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

3802 Paxton Ave Ste 12a
Cincinnati, OH 45209-2399

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Other names 1

  • Dentists at Hyde Park Plaza Doing business as

National Provider Directory

National Provider Directory

Locations

3802 Paxton Ave
Ste 12A
Cincinnati, OH 45209
Phone (513) 898-1194

Practitioners & affiliated clinicians

Practitioners 12

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": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1255994463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 PAXTON AVE STE 12A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092399",
            "telephone_number": "513-898-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS AT HYDE PARK PLAZA, PC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BACH",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "513-898-1194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists at Hyde Park Plaza",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentists at Hyde Park Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 8, 2022; 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.