NPIMap

Organization Active NPI

North Main Dental Inc

  • Dentist
  • Dayton, OH
National Provider Identifier
1467567610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13362 Issued in OH
Legal business name
NORTH MAIN DENTAL INC
Practice address
6500 N Main Street
Dayton, OH 45415
Phone
(937) 275-0076
Fax
(937) 275-0995
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Marvin Shepler II, DENTISTNPI 1396861852
Title
Owner
Phone
(937) 275-0076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13362 OH Primary

Addresses

Primary practice location

6500 N Main Street
Dayton, OH 45415

Mailing address

6500 N Main Street
Dayton, OH 45415
Phone (937) 275-0076

National Provider Directory

National Provider Directory

Locations

6500 N Main St
Dayton, OH 45415
Phone (937) 275-0076

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467567610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 N MAIN STREET",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45415",
            "telephone_number": "937-275-0076",
            "fax_number": "937-275-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N MAIN STREET",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45415",
            "telephone_number": "937-275-0076",
            "fax_number": "937-275-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MAIN DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-275-0076",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "13362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.