Active NPI
Curtis Janssen Creath, DMD MS
- Pediatric Dentistry
- Milford, OH
National Provider Identifier
1447353057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30 020045
- Practice address
- 1106 C Main Street
Milford, OH 45150-0267 - Phone
- (513) 831-3434
- Fax
- (513) 965-3412
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 30 020045 | OH | Primary |
Addresses
Primary practice location
1106 C Main Street
Milford, OH 45150-0267
Mailing address
PO Box 267
1106 C Main Street
Milford, OH 45150-0269
Phone (513) 831-3434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0983253 | Medicaid | OH |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30 020045 | OH | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milford Lisa Rudolph DMD MPH and Petr Vaughan DDS, LLC | Pediatric Dentistry | Past | Accepting new patients |
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.
-
- Pediatric Dentistry
- Milford, OH
- NPI 1407603558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447353057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 267",
"address_2": "1106 C MAIN STREET",
"city": "MILFORD",
"state": "OH",
"postal_code": "451500269",
"telephone_number": "513-831-3434",
"fax_number": "513-965-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 C MAIN STREET",
"city": "MILFORD",
"state": "OH",
"postal_code": "451500267",
"telephone_number": "513-831-3434",
"fax_number": "513-965-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREATH",
"first_name": "CURTIS",
"middle_name": "JANSSEN",
"credential": "DMD MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "30 020045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0983253",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.