NPIMap

Organization Active NPI

Donna J Miller DMD Daniel F Green DDS and Jeremy D Crabtree DDS Inc

  • Dental Clinic/Center
  • Chillicothe, OH
National Provider Identifier
1407933641
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DONNA J MILLER DMD DANIEL F GREEN DDS AND JEREMY D CRABTREE DDS INC
Practice address
19 Executive Center Dr
Chillicothe, OH 45601
Phone
(740) 773-4066
Fax
(740) 773-9174
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jan Green
Title
Business Manager
Phone
(740) 773-4066

Specialties & licenses 1

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

Addresses

Primary practice location

19 Executive Center Dr
Chillicothe, OH 45601

Mailing address

PO Box 1007
Chillicothe, OH 45601
Phone (740) 773-4066

Other identifiers 1

IdentifierTypeStateIssuer
0884084MedicaidOH

Other names 1

  • Family Dental Center of Chillicothe Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Donna J Miller DMD Daniel F Green DDS Jeremy D Crabtree DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19 Executive Center Dr
Chillicothe, OH 45601
Phone (740) 773-4066

Practitioners & affiliated clinicians

Practitioners 9

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407933641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-773-4066",
            "fax_number": "740-773-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 EXECUTIVE CENTER DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-773-4066",
            "fax_number": "740-773-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA J MILLER DMD DANIEL F GREEN DDS AND JEREMY D CRABTREE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "740-773-4066"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0884084",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Center of Chillicothe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.