NPIMap

Organization Active NPI

McDuffee Lima Dentistry LLC

  • Dental Clinic/Center
  • Centerburg, OH
National Provider Identifier
1548755333
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
17811 Issued in OH
Legal business name
MCDUFFEE LIMA DENTISTRY LLC
Doing business as
Centerburg Dental Care
Practice address
3927 Columbus Rd
Centerburg, OH 43011-9475
Phone
(740) 480-8162
Fax
(740) 480-8179
NPI assigned
Jun 25, 2018
Organization subpart
Yes
Parent organization
MCDUFFEE LIMA DENTISTRY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Malinda Shipman
Title
Office Manager
Phone
(740) 480-8162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 17811 OH Primary

Addresses

Primary practice location

3927 Columbus Rd
Centerburg, OH 43011-9475

Mailing address

3927 Columbus Rd
Centerburg, OH 43011-9475
Phone (740) 480-8162

Other names 1

  • Centerburg Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
McDuffee Lima Dentistry LLC

Locations

3927 Columbus Rd
Centerburg, OH 43011
Phone (740) 480-8162

Practitioners & affiliated clinicians

Practitioners 3

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": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1548755333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 COLUMBUS RD",
            "city": "CENTERBURG",
            "state": "OH",
            "postal_code": "430119475",
            "telephone_number": "740-480-8162",
            "fax_number": "740-480-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 COLUMBUS RD",
            "city": "CENTERBURG",
            "state": "OH",
            "postal_code": "430119475",
            "telephone_number": "740-480-8162",
            "fax_number": "740-480-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDUFFEE LIMA DENTISTRY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCDUFFEE LIMA DENTISTRY LLC",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "SHIPMAN",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-480-8162"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "17811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerburg Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.