Active NPI
Christopher J Ebert, DDS
- General Practice Dentistry
- Willard, OH
National Provider Identifier
1629024369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30-018963
- Practice address
- 390 E Howard St
Suite C
Willard, OH 44890-1656 - Phone
- (419) 935-2881
- Fax
- (419) 933-0026
- NPI assigned
- May 25, 2006
- Last updated
- May 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-018963 | OH | Primary |
Addresses
Primary practice location
390 E Howard St
Suite C
Willard, OH 44890-1656
Mailing address
390 E Howard St
Suite C
Willard, OH 44890-1656
Phone (419) 935-2881
Other names 1
- Dr. Aaron M Carmean
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30-018963 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ebert & Carmean, D.D.S., Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Willard, OH
- NPI 1336313642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1629024369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 E HOWARD ST",
"address_2": "SUITE C",
"city": "WILLARD",
"state": "OH",
"postal_code": "448901656",
"telephone_number": "419-935-2881",
"fax_number": "419-933-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 E HOWARD ST",
"address_2": "SUITE C",
"city": "WILLARD",
"state": "OH",
"postal_code": "448901656",
"telephone_number": "419-935-2881",
"fax_number": "419-933-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERT",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30-018963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AARON",
"last_name": "CARMEAN",
"middle_name": "M",
"prefix": "DR.",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Willard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.