Active NPI
Jihad Saliba, DDS
- Dentist
- Bellefontaine, OH
National Provider Identifier
1629114491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30021525
- Practice address
- 1216 South Main Street
Bellefontaine, OH 43311 - Phone
- (937) 593-2913
- Fax
- (937) 593-8613
- NPI assigned
- Jan 29, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 30021525 | OH | Primary |
Addresses
Primary practice location
1216 South Main Street
Bellefontaine, OH 43311
Mailing address
121 N Detroit Street
Kenton, OH 43326
Phone (419) 673-0706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30021525 | Other | OH | LIC# OH STATE DENTAL BD |
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 |
|---|---|---|---|
| 30021525 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Dental | Past | Accepting new patients | |
| Kenton Dental Care Saliba Fleming & Holland LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Marysville, OH
- NPI 1720160039
-
- Dentist
- Columbus, OH
- NPI 1790821569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1629114491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N DETROIT STREET",
"city": "KENTON",
"state": "OH",
"postal_code": "43326",
"telephone_number": "419-673-0706",
"fax_number": "419-673-0725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 SOUTH MAIN STREET",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "43311",
"telephone_number": "937-593-2913",
"fax_number": "937-593-8613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALIBA",
"first_name": "JIHAD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30021525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC# OH STATE DENTAL BD",
"identifier": "30021525",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellefontaine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.