NPIMap

Organization Active NPI

Pinnacle One Dental Group

  • General Practice Dentistry
  • Fairfield, OH
National Provider Identifier
1265459804
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14417 Issued in OH
Legal business name
PINNACLE ONE DENTAL GROUP
Practice address
2760 Mack Rd
Fairfield, OH 45014-5129
Phone
(513) 874-2444
NPI assigned
Jul 17, 2006
Organization subpart
Yes
Parent organization
PINNACLE ONE DENTAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 14417 OH Primary

Addresses

Primary practice location

2760 Mack Rd
Fairfield, OH 45014-5129

Mailing address

2760 Mack Rd
Fairfield, OH 45014-5129
Phone (513) 874-2444

Other names 1

  • Cincinnati Dental Services Fairfield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle One Dental Group Delisle PC10 organizations share this tax ID, including this one
Part of
Pinnacle One Dental Group Delisle PC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2760 Mack Rd
Fairfield, OH 45014
Phone (513) 874-2444

Practitioners & affiliated clinicians

Practitioners 7

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1265459804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145129",
            "telephone_number": "513-874-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145129",
            "telephone_number": "513-874-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ONE DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE ONE DENTAL GROUP",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "14417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cincinnati Dental Services Fairfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.