NPIMap

Organization Active NPI

Donna J Miller DMD Daniel F Green DDS & Jeremy D Crabtree DDS Inc

Doing business as Family Dental Center

  • Dental Clinic/Center
  • Circleville, OH
National Provider Identifier
1598842734
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DONNA J MILLER DMD DANIEL F GREEN DDS & JEREMY D CRABTREE DDS INC
Doing business as
Family Dental Center
Practice address
102 N Scioto St
Circleville, OH 43113-1630
Phone
(740) 477-3174
Fax
(740) 477-2616
NPI assigned
Nov 1, 2006
Last updated
Mar 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Sue Sklenar
Title
Business Manager
Phone
(740) 773-4066

Specialties & licenses 1

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

Addresses

Primary practice location

102 N Scioto St
Circleville, OH 43113-1630

Mailing address

102 N Scioto St
Circleville, OH 43113-1630
Phone (740) 477-3174

Other identifiers 1

IdentifierTypeStateIssuer
0916601MedicaidOH

Other names 1

  • Family Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Donna J Miller DMD Daniel F Green DDS Jeremy D Crabtree DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

102 N Scioto St
Circleville, OH 43113
Phone (740) 477-3174

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1598842734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N SCIOTO ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131630",
            "telephone_number": "740-477-3174",
            "fax_number": "740-477-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N SCIOTO ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131630",
            "telephone_number": "740-477-3174",
            "fax_number": "740-477-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA J MILLER DMD DANIEL F GREEN DDS & JEREMY D CRABTREE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "SKLENAR",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "740-773-4066"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0916601",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.