Individual provider Active NPI

Carolyn Simpson Molzahn, D.D.S.

  • Dentist
  • Milford, OH
National Provider Identifier
1487068359
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-024233 Issued in OH
Practice address
5616 Wolfpen Pleasant Hill Rd
Milford, OH 45150-9258
Phone
(513) 248-0656
Fax
(513) 248-0566
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-024233 OH Primary

Addresses

Primary practice location

5616 Wolfpen Pleasant Hill Rd
Milford, OH 45150-9258

Mailing address

750 Wahington Rd
Pittsburgh, PA 15228-9258
Phone (513) 248-0656

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

LicenseStateTypeSpecialty
30-024233OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1487068359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WAHINGTON RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152289258",
            "telephone_number": "513-248-0656",
            "fax_number": "513-248-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 WOLFPEN PLEASANT HILL RD",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451509258",
            "telephone_number": "513-248-0656",
            "fax_number": "513-248-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLZAHN",
        "first_name": "CAROLYN",
        "middle_name": "SIMPSON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-024233",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 29, 2019; 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.