Organization Active NPI

Complete Health Dentistry of Cincinnati

  • Dental Clinic/Center
  • Blue Ash, OH
National Provider Identifier
1386152452
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3016838 Issued in OH
Legal business name
COMPLETE HEALTH DENTISTRY OF CINCINNATI
Practice address
4723 Cornell Rd
Blue Ash, OH 45241-7406
Phone
(513) 489-0607
Fax
(513) 657-0707
NPI assigned
Jan 11, 2018
Organization subpart
Yes
Parent organization
ERIC D HENIZE DDS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Eric D Henize, DDSNPI 1578677050
Title
Owner
Phone
(513) 489-0607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3016838 OH Primary

Addresses

Primary practice location

4723 Cornell Rd
Blue Ash, OH 45241-7406

Mailing address

4723 Cornell Rd
Blue Ash, OH 45241-7406
Phone (513) 489-0607

Other practice location 1

17 N Mechanic St
Lebanon, OH 45036-1801
Phone (513) 932-2851

National Provider Directory

National Provider Directory
Part of
Complete Health Dentistry of Cincinnati

Locations

4723 Cornell Rd
Blue Ash, OH 45241
Phone (513) 489-0222

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": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1386152452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4723 CORNELL RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452417406",
            "telephone_number": "513-489-0607",
            "fax_number": "513-657-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 CORNELL RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452417406",
            "telephone_number": "513-489-0607",
            "fax_number": "513-657-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 N Mechanic St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450361801",
            "country_code": "US",
            "telephone_number": "513-932-2851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE HEALTH DENTISTRY OF CINCINNATI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERIC D HENIZE DDS, LLC",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HENIZE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-489-0607",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "3016838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.