NPIMap

Individual provider Active NPI

Aric Anthony Kuehner, D.D.S.

  • Dentist
  • Mansfield, OH
National Provider Identifier
1619045952
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-022131 Issued in OH
Practice address
1145 Aspira CT
Mansfield, OH 44906-4125
Phone
(419) 774-7529
Fax
(419) 774-7529
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-022131 OH Primary

Addresses

Primary practice location

1145 Aspira CT
Mansfield, OH 44906-4125

Mailing address

1145 Aspira CT
Mansfield, OH 44906-4125
Phone (419) 774-7529

Other identifiers 1

IdentifierTypeStateIssuer
2662051MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30-022131OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cockley'S Playtime Dental Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1619045952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 ASPIRA CT",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064125",
            "telephone_number": "419-774-7529",
            "fax_number": "419-774-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 ASPIRA CT",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064125",
            "telephone_number": "419-774-7529",
            "fax_number": "419-774-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEHNER",
        "first_name": "ARIC",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-022131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2662051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.