NPIMap

Organization Active NPI

Ross D Shira DDS Inc.

  • Dental Clinic/Center
  • Englewood, OH
National Provider Identifier
1649397985
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
17948 Issued in OH
Legal business name
ROSS D SHIRA DDS INC.
Practice address
211 W National Rd
Englewood, OH 45322-1437
Phone
(937) 836-3117
Fax
(937) 836-7174
NPI assigned
Mar 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ross D. ShiraNPI 1235256561
Title
President
Phone
(937) 836-3117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 17948 OH Primary

Addresses

Primary practice location

211 W National Rd
Englewood, OH 45322-1437

Mailing address

211 W National Rd
Englewood, OH 45322-1437
Phone (937) 836-3117

National Provider Directory

National Provider Directory

Locations

211 W National Rd
Englewood, OH 45322
Phone (937) 208-8100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649397985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W NATIONAL RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453221437",
            "telephone_number": "937-836-3117",
            "fax_number": "937-836-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W NATIONAL RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453221437",
            "telephone_number": "937-836-3117",
            "fax_number": "937-836-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS D SHIRA DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIRA",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-836-3117"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "17948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.