Organization Active NPI

Seva Dental Ohio LLC

  • General Practice Dentistry
  • Fairfield, OH
National Provider Identifier
1619888534
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SEVA DENTAL OHIO LLC
Practice address
5380 Pleasant Ave Ste 3B
Fairfield, OH 45014-3500
Phone
(513) 829-1100
NPI assigned
Sep 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Kelly Rolnicki
Title
RCM
Phone
(708) 372-4773

Specialties & licenses 1

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

Addresses

Primary practice location

5380 Pleasant Ave Ste 3B
Fairfield, OH 45014-3500

Mailing address

5380 Pleasant Ave Ste 3B
Fairfield, OH 45014-3500
Phone (513) 829-1100

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1619888534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 PLEASANT AVE STE 3B",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143500",
            "telephone_number": "513-829-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 PLEASANT AVE STE 3B",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143500",
            "telephone_number": "513-829-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVA DENTAL OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "ROLNICKI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "708-372-4773"
    },
    "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 Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.