Organization Active NPI

Community Action Organization of Scioto County, Inc.

  • Dentist
  • Portsmouth, OH
National Provider Identifier
1487797296
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COMMUNITY ACTION ORGANIZATION OF SCIOTO COUNTY, INC.
Practice address
1112 Gallia St
Portsmouth, OH 45662-4161
Phone
(740) 351-0880
Fax
(740) 351-0890
NPI assigned
Feb 14, 2007
Organization subpart
Yes
Parent organization
COMMUNITY ACTION ORGANIZATION OF SCIOTO COUNTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mrs. Caroline Margaret Massie, M.A.
Title
Dental Program Director
Phone
(740) 351-0880

Specialties & licenses 1

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

Addresses

Primary practice location

1112 Gallia St
Portsmouth, OH 45662-4161

Mailing address

1112 Gallia St
Portsmouth, OH 45662-4161
Phone (740) 351-0880

Other identifiers 1

IdentifierTypeStateIssuer
2209541MedicaidOH

Other names 1

  • CAO Center For Dental Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Action Organization of Scioto County Inc4 organizations share this tax ID, including this one
Part of
Community Action Organization of Scioto County Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1487797296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624161",
            "telephone_number": "740-351-0880",
            "fax_number": "740-351-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624161",
            "telephone_number": "740-351-0880",
            "fax_number": "740-351-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION ORGANIZATION OF SCIOTO COUNTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY ACTION ORGANIZATION OF SCIOTO COUNTY, INC.",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "MASSIE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "DENTAL PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "740-351-0880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2209541",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAO Center For Dental Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.