Organization Active NPI

Taylorsville Family Dental

  • General Practice Dentistry
  • Huber Heights, OH
National Provider Identifier
1619391984
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20761 Issued in OH
Legal business name
TAYLORSVILLE FAMILY DENTAL
Practice address
7212 Taylorsville Rd
Huber Heights, OH 45424-2303
Phone
(937) 233-6500
Fax
(937) 233-6500
NPI assigned
Feb 7, 2014
Last updated
Feb 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Justine Beatty
Title
Front Desk
Phone
(937) 233-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20761 OH Primary

Addresses

Primary practice location

7212 Taylorsville Rd
Huber Heights, OH 45424-2303

Mailing address

7212 Taylorsville Rd
Huber Heights, OH 45424-2303
Phone (937) 233-6500

Other identifiers 1

IdentifierTypeStateIssuer
2653534MedicaidOH

National Provider Directory

National Provider Directory

Locations

7212 Taylorsville Rd
Huber Heights, OH 45424
Phone (937) 233-6500

Practitioners & affiliated clinicians

Practitioners 3

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": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1619391984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 TAYLORSVILLE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242303",
            "telephone_number": "937-233-6500",
            "fax_number": "937-233-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 TAYLORSVILLE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242303",
            "telephone_number": "937-233-6500",
            "fax_number": "937-233-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLORSVILLE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "FRONT DESK",
        "authorized_official_telephone_number": "937-233-6500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2653534",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.