Organization Active NPI

Thu Lephan DDS, LLC

  • Dentist
  • Shelby, OH
National Provider Identifier
1497178040
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30023332 Issued in OH
Legal business name
THU LEPHAN DDS, LLC
Practice address
102 Auburn Ave
Shelby, OH 44875-1104
Phone
(419) 342-3891
Fax
(419) 342-3897
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Thu Lephan, DDS
Title
Dentist
Phone
(614) 886-1927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30023332 OH Primary

Addresses

Primary practice location

102 Auburn Ave
Shelby, OH 44875-1104

Mailing address

102 Auburn Ave
Shelby, OH 44875-1104
Phone (419) 342-3891

National Provider Directory

National Provider Directory

Locations

102 Auburn Ave
Shelby, OH 44875
Phone (419) 342-3891

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": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1497178040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 AUBURN AVE",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751104",
            "telephone_number": "419-342-3891",
            "fax_number": "419-342-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 AUBURN AVE",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751104",
            "telephone_number": "419-342-3891",
            "fax_number": "419-342-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THU LEPHAN DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "LEPHAN",
        "authorized_official_first_name": "THU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "614-886-1927",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30023332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.