NPIMap

Organization Active NPI

Jerry Rotella D.D.S., Inc.

  • General Practice Dentistry
  • Loveland, OH
National Provider Identifier
1619000163
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17966 Issued in OH
Legal business name
JERRY ROTELLA D.D.S., INC.
Practice address
8974 Columbia Rd
Loveland, OH 45140-1114
Phone
(513) 683-5405
Fax
(513) 683-0405
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerry Jason Rotella, D.D.S.NPI 1487787925
Title
Owner
Phone
(513) 683-5405

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17966 OH Primary

Addresses

Primary practice location

8974 Columbia Rd
Loveland, OH 45140-1114

Mailing address

8974 Columbia Rd
Loveland, OH 45140-1114
Phone (513) 683-5405

National Provider Directory

National Provider Directory

Locations

8974 Columbia Rd
Loveland, OH 45140
Phone (513) 683-5405

Practitioners & affiliated clinicians

Practitioners 2

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619000163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8974 COLUMBIA RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451401114",
            "telephone_number": "513-683-5405",
            "fax_number": "513-683-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8974 COLUMBIA RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451401114",
            "telephone_number": "513-683-5405",
            "fax_number": "513-683-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY ROTELLA D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTELLA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-683-5405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.