Active NPI
Ross D Shira DDS Inc.
- Dental Clinic/Center
- Englewood, OH
National Provider Identifier
1649397985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 17948
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ross D. Shira
- Title
- President
- Phone
- (937) 836-3117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.