Organization Active NPI

Queen City Orthodontics

  • Dental Clinic/Center
  • Liberty Township, OH
National Provider Identifier
1609565258
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
QUEEN CITY ORTHODONTICS
Practice address
6752 Cincinnati Dayton Rd Ste 102a
Liberty Township, OH 45044-9325
Phone
(513) 434-8320
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Nicole Crasto, DDS, MSNPI 1659727220
Title
Orthodontics
Phone
(567) 454-0273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6752 Cincinnati Dayton Rd Ste 102a
Liberty Township, OH 45044-9325

Mailing address

9856 Snider Rd
Mason, OH 45040-9323
Phone (567) 454-0273

National Provider Directory

National Provider Directory

Locations

6752 Cincinnati Dayton Rd
Ste 102A
Liberty Township, OH 45044
Phone (513) 434-8320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1609565258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9856 SNIDER RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409323",
            "telephone_number": "567-454-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6752 CINCINNATI DAYTON RD STE 102A",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449325",
            "telephone_number": "513-434-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "CRASTO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ORTHODONTICS",
        "authorized_official_telephone_number": "567-454-0273",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.