Active NPI
Robert John Limardi, D.D.S.,M.S.
- Periodontics
- Fairfield, OH
National Provider Identifier
1689725962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- OH18592
- Practice address
- 3174 Mack Rd
Suite 1
Fairfield, OH 45014-5370 - Phone
- (513) 870-9672
- Fax
- (513) 870-0126
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | OH18592 | OH | Primary |
Addresses
Primary practice location
3174 Mack Rd
Suite 1
Fairfield, OH 45014-5370
Mailing address
107 Hetherington LN
Cincinnati, OH 45246-3744
Phone (513) 771-0759
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130619000317 | OH | Order and Referring Only - Maxillofacial Surgery | 5991944175 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH18592 | OH | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FSM Perio LLC | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- Fairfield, OH
- NPI 1457200800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689725962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 HETHERINGTON LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463744",
"telephone_number": "513-771-0759",
"fax_number": "513-771-0758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3174 MACK RD",
"address_2": "SUITE 1",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145370",
"telephone_number": "513-870-9672",
"fax_number": "513-870-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIMARDI",
"first_name": "ROBERT",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OH",
"license": "OH18592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.