Robert Louis McIntosh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.016553 Issued in OH

Practice address

15 Liberty St.
North Jackson, OH 44451-8706

Phone

(330) 538-3304

Fax

(330) 538-3305

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1699848465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33",
            "city": "NORTH JACKSON",
            "state": "OH",
            "postal_code": "444510033",
            "telephone_number": "330-538-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LIBERTY ST.",
            "city": "NORTH JACKSON",
            "state": "OH",
            "postal_code": "444518706",
            "telephone_number": "330-538-3304",
            "fax_number": "330-538-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.016553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shallon Tennille Johnson, FNP-C
• Stephanie Kardos
• Lucinda Lois Kutsko
• Ann Maynard
• Judy McCorkle, COTA/L
• Maggie Lee Milne, COTA/L
• Minds-N-Motion Wellness LLC
• North Jackson Family Dentistry
• Jay Richard Osborne, M.D.
• Lisa Popa

• General Practice Dentistry in North Jackson, OH
• Providers in North Jackson, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.

Verify at the official NPI Registry.