DMG - Beavercreek RJ Caputo DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-022642 Issued in OH

Legal business name

DMG - BEAVERCREEK RJ CAPUTO DMD, LLC

Practice address

2374 Lakeview Dr
Beavercreek, OH 45431-2793

Phone

(937) 431-0947

Fax

(937) 431-0950

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sarah M Smith, DMDNPI 1477816056

Title

Owner

Phone

(937) 431-0947

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sarah Maree Smith, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Beavercreek, OH
  • NPI 1477816056
  NPD (past) Authorized official

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1497930168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2374 LAKEVIEW DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312793",
            "telephone_number": "937-431-0947",
            "fax_number": "937-431-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2374 LAKEVIEW DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312793",
            "telephone_number": "937-431-0947",
            "fax_number": "937-431-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMG - BEAVERCREEK RJ CAPUTO DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-431-0947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marie Diogo, LMT
• Sara Marie Diskin
• Teresa D Ditmer, APRN-BC, CNS
• Sara Raye Ditzel, MSP
• Dixie a. Dooley, DPM, Inc.
• Bryan Sherman Dodd, D.D.S.
• Dooley Chiropractic LLC
• Bryan Michael Dooley
• Skyy Dos-Reis
• Dose of Joy Home Care LLC

• General Practice Dentistry in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.