Active NPI
Rosemary Chaban, DDS
- General Practice Dentistry
- Toledo, OH
National Provider Identifier
1629599691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- RES.003908
- Practice address
- 3000 Arlington Ave
Mail Stop 1092
Toledo, OH 43614 - Phone
- (419) 383-3504
- NPI assigned
- Jun 29, 2017
- Sex
- Female
- 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 | RES.003908 | OH | Primary |
Addresses
Primary practice location
3000 Arlington Ave
Mail Stop 1092
Toledo, OH 43614
Mailing address
7347 Deer Trail CT
Toledo, OH 43615-2647
Phone (419) 266-4195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170816002209 | OH | Order and Referring Only - Dentist | 7214209881 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RES.003908 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1629599691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7347 DEER TRAIL CT",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436152647",
"telephone_number": "419-266-4195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 ARLINGTON AVE",
"address_2": "MAIL STOP 1092",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43614",
"telephone_number": "419-383-3504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHABAN",
"first_name": "ROSEMARY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "RES.003908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.