Individual provider Active NPI

Vincent A. Linz, D.D.S., M.S.

  • Periodontics
  • Cincinnati, OH
National Provider Identifier
1568585685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
15545 Issued in OH
Practice address
9157 Montgomery Rd Ste 200
4966 Glenway Avenue Suite 111
Cincinnati, OH 45242-7731
Phone
(513) 891-2448
Fax
(513) 891-2448
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 15545 OH Primary

Addresses

Primary practice location

9157 Montgomery Rd Ste 200
4966 Glenway Avenue Suite 111
Cincinnati, OH 45242-7731

Mailing address

9157 Montgomery Rd Ste 200
4966 Glenway Avenue Suite 111
Cincinnati, OH 45242-7731
Phone (513) 891-2448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130607000637 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6901044668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15545OHMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568585685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9157 MONTGOMERY RD STE 200",
            "address_2": "4966 GLENWAY AVENUE SUITE 111",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427731",
            "telephone_number": "513-891-2448",
            "fax_number": "513-891-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9157 MONTGOMERY RD STE 200",
            "address_2": "4966 GLENWAY AVENUE SUITE 111",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427731",
            "telephone_number": "513-891-2448",
            "fax_number": "513-891-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINZ",
        "first_name": "VINCENT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "15545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.