Active NPI
John M Patierno, D.M.D.
- Endodontics
- West Chester, OH
National Provider Identifier
1346493558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 19237
- Practice address
- 7760 West Voa Park Dr
Suite a
West Chester, OH 45069-3371 - Phone
- (513) 759-2700
- Fax
- (513) 759-2709
- NPI assigned
- Oct 31, 2008
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 19237 | OH | Primary |
Addresses
Primary practice location
7760 West Voa Park Dr
Suite a
West Chester, OH 45069-3371
Mailing address
7760 West Voa Park Drive
Suite a
West Chester, OH 45069-3371
Phone (513) 759-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130710000051 | OH | Order and Referring Only - Oral Surgery | 4082854351 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19237 | OH | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1346493558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7760 WEST VOA PARK DRIVE",
"address_2": "SUITE A",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450693371",
"telephone_number": "513-759-2700",
"fax_number": "513-759-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7760 WEST VOA PARK DR",
"address_2": "SUITE A",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450693371",
"telephone_number": "513-759-2700",
"fax_number": "513-759-2709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIERNO",
"first_name": "JOHN",
"middle_name": "M",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-31",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "19237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.