NPIMap

Organization Active NPI

Jan S Labeda D.D.S.,Inc.

Doing business as Eastgate Dental Care

  • Dental Clinic/Center
  • Batavia, OH
National Provider Identifier
1588787352
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAN S LABEDA D.D.S.,INC.
Doing business as
Eastgate Dental Care
Practice address
2520 St RT 50
Batavia, OH 45103
Phone
(513) 732-6660
NPI assigned
Apr 9, 2007
Last updated
Aug 6, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
JAN S LABEDA D.D.S.,INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Jan S Labeda, D.D.S.
Title
President
Phone
(513) 732-6660

Specialties & licenses 1

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

Addresses

Primary practice location

2520 St RT 50
Batavia, OH 45103

Mailing address

4553 Elmont Dr
Cincinnati, OH 45245-1008

Other names 1

  • Eastgate Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jan S Labeda Ddsinc2 organizations share this tax ID, including this one
Part of
Jan S Labeda Ddsinc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2520 State Route 50
Batavia, OH 45103
Phone (513) 732-6660

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1588787352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 ELMONT DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 ST RT 50",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "45103",
            "telephone_number": "513-732-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN S LABEDA D.D.S.,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAN S LABEDA D.D.S.,INC.",
        "enumeration_date": "2007-04-09",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "LABEDA",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-732-6660",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastgate Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batavia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.