Organization Active NPI

Ronald L. Poulos, DDS, LLC

  • Pediatric Dentistry
  • Cincinnati, OH
National Provider Identifier
1538030051
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
RONALD L. POULOS, DDS, LLC
Practice address
7655 5 Mile Rd Ste 214
Cincinnati, OH 45230-4326
Phone
(513) 232-0550
Fax
(513) 232-1605
NPI assigned
Sep 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Dr. Ronald Louis Poulos, DDSNPI 1346391851
Title
Member
Phone
(513) 232-0550

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

7655 5 Mile Rd Ste 214
Cincinnati, OH 45230-4326

Mailing address

7655 5 Mile Rd Ste 214
Cincinnati, OH 45230-4326
Phone (513) 232-0550

Other names 1

  • Pediatric Dentistry of Anderson Doing business as

National Provider Directory

National Provider Directory

Locations

7655 5 Mile Rd
Ste 214
Cincinnati, OH 45230
Phone (513) 232-0550

Practitioners & affiliated clinicians

Practitioners 2

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": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1538030051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 5 MILE RD STE 214",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304326",
            "telephone_number": "513-232-0550",
            "fax_number": "513-232-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 5 MILE RD STE 214",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304326",
            "telephone_number": "513-232-0550",
            "fax_number": "513-232-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L. POULOS, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "POULOS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "513-232-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry of Anderson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.