NPIMap

Organization Active NPI

Ohio Dental Professionals, Delisle, PC

Doing business as Dental Care of Fairfield

  • General Practice Dentistry
  • Hamilton, OH
National Provider Identifier
1598126989
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OHIO DENTAL PROFESSIONALS, DELISLE, PC
Doing business as
Dental Care of Fairfield
Practice address
3012 Anchor Drive
Hamilton, OH 45011
Phone
(513) 285-9613
NPI assigned
Mar 11, 2016
Last updated
Mar 11, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
OHIO DENTAL PROFESSIONALS, DELISLE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Kendra Walker
Title
Credentialing Team Lead
Phone
(217) 540-8312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

3012 Anchor Drive
Hamilton, OH 45011

Mailing address

3012 Anchor Drive
Hamilton, OH 45011

Other names 1

  • Dental Care of Fairfield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ohio Dental Professionals Workman PC39 organizations share this tax ID, including this one
Part of
Ohio Dental Professionals Workman PC

Other organizations with this tax ID 38

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

View all 38

Locations

3012 Anchor Dr
Hamilton, OH 45011
Phone (513) 285-9613

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1598126989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 ANCHOR DRIVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 ANCHOR DRIVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45011",
            "telephone_number": "513-285-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO DENTAL PROFESSIONALS, DELISLE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO DENTAL PROFESSIONALS, DELISLE, PC",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "217-540-8312"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care of Fairfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.