Ganesh Loganathan, DENTIST

Primary specialty

DentistTaxonomy code 122300000X

License

30019355 Issued in OH

Practice address

3020 S Dixie Drive
Kettering, OH 45409

Phone

(937) 298-4221

Fax

(937) 395-3665

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dorothy Lane Dental, Ganesh Loganathan, D.D.S., Inc.

  • Dentist
  • Moraine, OH
  • NPI 1790095271
  NPD (past) Authorized official
• Dorothy Lane Dental Associates

  • General Practice Dentistry
  • Dayton, OH
  • NPI 1467447771
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1427079359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 S DIXIE DRIVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45409",
            "telephone_number": "937-298-4221",
            "fax_number": "937-395-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S DIXIE DRIVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45409",
            "telephone_number": "937-298-4221",
            "fax_number": "937-395-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGANATHAN",
        "first_name": "GANESH",
        "name_prefix": "Mr.",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30019355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0909511",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincoln Park Associates II LTD PTR
• Lincoln Park Surgery Center
• Stephen Linder, RPH
• Melissa R Lippincott, PA-C
• Nancy Wenchin Liu, MD
• Angelle Loges
• Thomas C Lolan, M.A., FAAA
• Danijela Lonco, DO
• Chelsea Bevan Long, ACNP
• Jacquelyn Ruth Long, DPT

• Dentist in Kettering, OH
• Providers in Kettering, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.