Individual provider Active NPI

Jeremy Joseph Borsky, DDS

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1629139431
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30022495 Issued in OH
Practice address
7521 State Road
Cincinnati, OH 45255
Phone
(513) 232-6560
Fax
(513) 232-7055
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 052141 NY
Dentist 122300000X 30022495 OH Primary

Addresses

Primary practice location

7521 State Road
Cincinnati, OH 45255

Mailing address

7521 State Road
Cincinnati, OH 45255
Phone (513) 232-6560

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

LicenseStateTypeSpecialty
052141NYMDDentist
30022495OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1629139431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 STATE ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45255",
            "telephone_number": "513-232-6560",
            "fax_number": "513-232-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 STATE ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45255",
            "telephone_number": "513-232-6560",
            "fax_number": "513-232-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORSKY",
        "first_name": "JEREMY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052141",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30022495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 12, 2008; 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.