NPIMap

Organization Active NPI

Park Dental Care of Hamilton Oh Inc

  • General Practice Dentistry
  • Hamilton, OH
National Provider Identifier
1639229735
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15471 Issued in OH
Legal business name
PARK DENTAL CARE OF HAMILTON OH INC
Practice address
345 Park Ave
Hamilton, OH 45013-3078
Phone
(513) 896-7979
Fax
(513) 896-1081
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Dr. Jeffery Karl Leibforth, DDSNPI 1740333467
Title
President/Owner
Phone
(513) 896-7979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 15471 OH Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 14379 OH
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 11813 OH
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 21176 OH

Addresses

Primary practice location

345 Park Ave
Hamilton, OH 45013-3078

Mailing address

345 Park Ave
Hamilton, OH 45013-3078
Phone (513) 896-7979

Other names 1

  • Paul W Grieselhuber and Rene W Grieselhuber DDS Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

345 Park Ave
Hamilton, OH 45013
Phone (513) 896-7979

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1639229735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 PARK AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450133078",
            "telephone_number": "513-896-7979",
            "fax_number": "513-896-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 PARK AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450133078",
            "telephone_number": "513-896-7979",
            "fax_number": "513-896-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL CARE OF HAMILTON OH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "LEIBFORTH",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "513-896-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15471",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "14379",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "11813",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul W Grieselhuber and Rene W Grieselhuber DDS Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.