NPIMap

Organization Active NPI

West Harbor Dental PC

  • General Practice Dentistry
  • Port Clinton, OH
National Provider Identifier
1427313634
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WEST HARBOR DENTAL PC
Practice address
304 Madison St
Port Clinton, OH 43452-1937
Phone
(419) 734-2175
Fax
(419) 734-3444
NPI assigned
Jul 13, 2012
Last updated
Jul 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Mr. Sujay Rangaswamy, DDSNPI 1487774899
Title
Owner/Dr
Phone
(734) 996-9966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

304 Madison St
Port Clinton, OH 43452-1937

Mailing address

304 Madison St
Port Clinton, OH 43452
Phone (419) 734-2175

National Provider Directory

National Provider Directory

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": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1427313634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MADISON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "43452",
            "telephone_number": "419-734-2175",
            "fax_number": "419-734-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MADISON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521937",
            "telephone_number": "419-734-2175",
            "fax_number": "419-734-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HARBOR DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "RANGASWAMY",
        "authorized_official_first_name": "SUJAY",
        "authorized_official_title_or_position": "OWNER/DR",
        "authorized_official_telephone_number": "734-996-9966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Clinton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.