Active NPI
David Read Backus, DDS
- Dental Anesthesiology
- Toledo, OH
National Provider Identifier
1467566547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 18187
- Practice address
- 4720 Jackman Rd
Toledo, OH 43612-2030 - Phone
- (419) 476-1484
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | 18187 | OH | Primary |
Addresses
Primary practice location
4720 Jackman Rd
Toledo, OH 43612-2030
Mailing address
4720 Jackman Rd.
Toledo, OH 43612-2030
Phone (419) 476-1484
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 |
|---|---|---|---|
| 18187 | OH | MD | Dentist Anesthesiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1467566547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 JACKMAN RD.",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436122030",
"telephone_number": "419-476-1484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 JACKMAN RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436122030",
"telephone_number": "419-476-1484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKUS",
"first_name": "DAVID",
"middle_name": "READ",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "OH",
"license": "18187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.