NPIMap

Organization Active NPI

McComb Family Dentistry, Incorporated

  • General Practice Dentistry
  • McComb, OH
National Provider Identifier
1467599738
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MCCOMB FAMILY DENTISTRY, INCORPORATED
Practice address
269 S. Park Dr.
McComb, OH 45858-0788
Phone
(419) 293-2335
Fax
(419) 293-2512
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Nancy E Dysinger, DDSNPI 1922145275
Title
Owner
Phone
(419) 293-2335

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

269 S. Park Dr.
McComb, OH 45858-0788

Mailing address

PO Box 788
MC Comb, OH 45858-0788
Phone (419) 293-2335

National Provider Directory

National Provider Directory

Locations

269 Park Dr S
Mc Comb, OH 45858
Phone (419) 293-2335

Practitioners & affiliated clinicians

Practitioners 4

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467599738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "MC COMB",
            "state": "OH",
            "postal_code": "458580788",
            "telephone_number": "419-293-2335",
            "fax_number": "419-293-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 S. PARK DR.",
            "city": "MCCOMB",
            "state": "OH",
            "postal_code": "458580788",
            "telephone_number": "419-293-2335",
            "fax_number": "419-293-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOMB FAMILY DENTISTRY, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYSINGER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-293-2335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, 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.