NPIMap

Organization Active NPI

Pinnacle One Dental Group

  • General Practice Dentistry
  • Milford, OH
National Provider Identifier
1295115343
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PINNACLE ONE DENTAL GROUP
Practice address
5976 Meijer Dr Ste 110B
Milford, OH 45150-2191
Phone
(513) 712-1085
NPI assigned
Jun 4, 2015
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30.024456 OH
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5976 Meijer Dr Ste 110B
Milford, OH 45150-2191

Mailing address

5976 Meijer Dr Ste 110B
Milford, OH 45150-2191
Phone (513) 712-1085

Other names 1

  • Cincinnati Dental Services Milford 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

5976 Meijer Dr
Ste 110B
Milford, OH 45150
Phone (513) 712-1085

Practitioners & affiliated clinicians

Practitioners 2

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": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1295115343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5976 MEIJER DR STE 110B",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502191",
            "telephone_number": "513-712-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5976 MEIJER DR STE 110B",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502191",
            "telephone_number": "513-712-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ONE DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE ONE DENTAL GROUP",
        "enumeration_date": "2015-06-04",
        "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 SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024456",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cincinnati Dental Services Milford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, 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.