Active NPI
Victor John Dubel, DDS
- Dentist
- Dayton, OH
National Provider Identifier
1730378167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30-18499
- Practice address
- 453 Patterson Rd
Dayton, OH 45419-4343 - Phone
- (937) 429-8511
- Fax
- (937) 298-5887
- NPI assigned
- Oct 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 30-18499 | OH | Primary |
Addresses
Primary practice location
453 Patterson Rd
Dayton, OH 45419-4343
Mailing address
453 Patterson Road
Suite B
Dayton, OH 45419
Phone (937) 298-5110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0761635 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-18499 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1730378167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 PATTERSON ROAD",
"address_2": "SUITE B",
"city": "DAYTON",
"state": "OH",
"postal_code": "45419",
"telephone_number": "937-298-5110",
"fax_number": "937-298-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 PATTERSON RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454194343",
"telephone_number": "937-429-8511",
"fax_number": "937-298-5887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBEL",
"first_name": "VICTOR",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30-18499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0761635",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.