NPIMap

Organization Active NPI

Doctors Doty & Gaebelein

  • General Practice Dentistry
  • Brunswick, OH
National Provider Identifier
1538415203
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20066 Issued in OH
Legal business name
DOCTORS DOTY & GAEBELEIN
Practice address
4313 Regal Ave
Brunswick, OH 44212-2978
Phone
(330) 225-0105
Fax
(330) 220-7883
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Dr. Matt M Gaebelein, D.D.S.
Title
Dentist
Phone
(330) 225-0105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 20066 OH Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 14831 OH

Addresses

Primary practice location

4313 Regal Ave
Brunswick, OH 44212-2978

Mailing address

4313 Regal Ave
Brunswick, OH 44212-2978
Phone (330) 225-0105

Other names 1

  • Brunswick Smilekeepers Doing business as

National Provider Directory

National Provider Directory

Locations

4313 Regal Ave
Brunswick, OH 44212
Phone (330) 225-0105

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": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1538415203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 REGAL AVE",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122978",
            "telephone_number": "330-225-0105",
            "fax_number": "330-220-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 REGAL AVE",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122978",
            "telephone_number": "330-225-0105",
            "fax_number": "330-220-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS DOTY & GAEBELEIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "GAEBELEIN",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "330-225-0105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20066",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "14831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brunswick Smilekeepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brunswick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.