NPIMap

Organization Active NPI

Smile Zone Kids Dentistry

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1629124052
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE ZONE KIDS DENTISTRY
Practice address
1860 Seymour Ave
Cincinnati, OH 45237-4002
Phone
(513) 841-1000
Fax
(513) 841-1004
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Celeste Sester
Title
Office Manager
Phone
(513) 841-1000

Specialties & licenses 1

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

Addresses

Primary practice location

1860 Seymour Ave
Cincinnati, OH 45237-4002

Mailing address

1860 Seymour Ave
Cincinnati, OH 45237-4002
Phone (513) 841-1000

Other identifiers 5

IdentifierTypeStateIssuer
1764612OtherOHUNITED CONCORDIA
2551368MedicaidOH
5198006OtherKYAVESIS
61901161MedicaidKY
201006370AMedicaidIN

Other names 1

  • Roselawn Smiles Youth Dentistry LLC Elizabeth Geier DMD Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1629124052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 SEYMOUR AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452374002",
            "telephone_number": "513-841-1000",
            "fax_number": "513-841-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 SEYMOUR AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452374002",
            "telephone_number": "513-841-1000",
            "fax_number": "513-841-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ZONE KIDS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "SESTER",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-841-1000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1764612",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2551368",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "5198006",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61901161",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201006370A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roselawn Smiles Youth Dentistry LLC Elizabeth Geier DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.