Organization Active NPI

McCarren Family Dental

  • Dentist
  • Kettering, OH
National Provider Identifier
1417101619
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21281 Issued in OH
Legal business name
MCCARREN FAMILY DENTAL
Practice address
2650 Woodman Center CT
Kettering, OH 45420-1477
Phone
(937) 294-6703
NPI assigned
Nov 14, 2008
Last updated
Nov 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Cindy Mahl
Title
Operations Manager
Phone
(937) 294-6703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21281 OH Primary

Addresses

Primary practice location

2650 Woodman Center CT
Kettering, OH 45420-1477

Mailing address

2650 Woodman Center CT
Kettering, OH 45420-1477
Phone (937) 294-6703

National Provider Directory

National Provider Directory

Locations

2650 Woodman Center Ct
Kettering, OH 45420
Phone (937) 294-6703

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1417101619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 WOODMAN CENTER CT",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201477",
            "telephone_number": "937-294-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 WOODMAN CENTER CT",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201477",
            "telephone_number": "937-294-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCARREN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "MAHL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "937-294-6703"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "21281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.