Active NPI
Jodi Lynn Mrozinski, DDS
- General Practice Dentistry
- Dayton, OH
National Provider Identifier
1417063330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30-022638
- Practice address
- 4257 W 3Rd St
Dayton, OH 45417-1406 - Phone
- (937) 268-1665
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-022638 | OH | Primary |
| General Practice Dentistry | 1223G0001X | 20508 | MA | |
| General Practice Dentistry | 1223G0001X | 2901018257 | MI |
Addresses
Primary practice location
4257 W 3Rd St
Dayton, OH 45417-1406
Mailing address
7443 Wyndle CT
Dublin, OH 43016-8243
Phone (614) 504-5316
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 |
|---|---|---|---|
| 2901018257 | MI | MD | General Practice Dentistry |
| 30-022638 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center Street Community Clinic, Inc | Past | Accepting new patients |
Interoperability endpoints
- jodi.mrozinskipierson.p1@direct.centerstreetclinic.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Mount Gilead, OH
- NPI 1811303068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1417063330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7443 WYNDLE CT",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430168243",
"telephone_number": "614-504-5316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4257 W 3RD ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454171406",
"telephone_number": "937-268-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MROZINSKI",
"first_name": "JODI",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30-022638",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "20508",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901018257",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.