Kori & Everhartadvanced Dentistry, Scott M. Everhart DDS, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

20908 Issued in OH

Legal business name

KORI & EVERHARTADVANCED DENTISTRY, SCOTT M. EVERHART DDS, LLC

Practice address

401 Miamisburg Centerville Rd
Centerville, OH 45459-4753

Phone

(937) 435-5073

Fax

(937) 435-5215

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Scott M. Everhart, DDS

Title

President

Phone

(614) 579-6134

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1366748410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MIAMISBURG CENTERVILLE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594753",
            "telephone_number": "937-435-5073",
            "fax_number": "937-435-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MIAMISBURG CENTERVILLE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594753",
            "telephone_number": "937-435-5073",
            "fax_number": "937-435-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORI & EVERHARTADVANCED DENTISTRY, SCOTT M. EVERHART DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "EVERHART",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-579-6134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "20908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2205161",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2371866",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thania Isabel Knapke, CNP
• Jason Michael Knippen, RPH
• Emily Grace Koenig
• Taylor Nicole Kohls, PA-C
• Rhonda J Konicki, MSN, C-NP
• Abbey Kramer
• Katie Krebs, MD
• Paul Anthony Krebs
• Paul J Kremer, PT
• Shakunthala Krishnamurthi, MD

• Dentist in Centerville, OH
• Providers in Centerville, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.