Individual provider Active NPI

David Scott Lipps, D.D.S.

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1386665727
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-01-7716 Issued in OH
Practice address
423 Worthington Ave
Cincinnati, OH 45215-4436
Phone
(513) 761-1900
Fax
(513) 761-6401
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-01-7716 OH Primary

Addresses

Primary practice location

423 Worthington Ave
Cincinnati, OH 45215-4436

Mailing address

423 Worthington Ave
Cincinnati, OH 45215-4436
Phone (513) 761-1900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150407001842 OH Order and Referring Only - DentistPractitioner - Dentist 5092033811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Smile Center LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386665727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 WORTHINGTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452154436",
            "telephone_number": "513-761-1900",
            "fax_number": "513-761-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 WORTHINGTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452154436",
            "telephone_number": "513-761-1900",
            "fax_number": "513-761-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPS",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-01-7716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.