Organization Active NPI

Complete Dental Care of Champion Heights by Robert Doyle, DMD, LLC

  • General Practice Dentistry
  • Warren, OH
National Provider Identifier
1609364512
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMPLETE DENTAL CARE OF CHAMPION HEIGHTS BY ROBERT DOYLE, DMD, LLC
Practice address
5078 Mahoning Ave NW
Warren, OH 44483-1408
Phone
(740) 485-0309
Fax
(740) 264-6812
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Armanda Lester
Title
Office Manager
Phone
(740) 485-0309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5078 Mahoning Ave NW
Warren, OH 44483-1408

Mailing address

2700 Sunset Blvd
Steubenville, OH 43952-1158
Phone (740) 264-6811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1609364512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SUNSET BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521158",
            "telephone_number": "740-264-6811",
            "fax_number": "740-264-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5078 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831408",
            "telephone_number": "740-485-0309",
            "fax_number": "740-264-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL CARE OF CHAMPION HEIGHTS BY ROBERT DOYLE, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "ARMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-485-0309"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.