Active NPI
Jacob Karl Mohr, D.D.S.
- Public Health Dentistry
- Lima, OH
National Provider Identifier
1386706703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 21918
- Practice address
- 441 E 8TH St
Lima, OH 45804-2482 - Phone
- (419) 221-3072
- Fax
- (419) 549-8257
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 21918 | OH | Primary |
Addresses
Primary practice location
441 E 8TH St
Lima, OH 45804-2482
Mailing address
441 E 8TH St
Lima, OH 45804-2482
Phone (419) 221-3072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2795695 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21918 | OH | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | 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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1386706703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 E 8TH ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458042482",
"telephone_number": "419-221-3072",
"fax_number": "419-549-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 E 8TH ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458042482",
"telephone_number": "419-221-3072",
"fax_number": "419-549-8257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHR",
"first_name": "JACOB",
"middle_name": "KARL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "OH",
"license": "21918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2795695",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.