NPIMap

Organization Active NPI

Dennis J. Custer, D.D.S., LLC

  • Customized Equipment (DME)
  • Mansfield, OH
National Provider Identifier
1730501917
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
17639 Issued in OH
Legal business name
DENNIS J. CUSTER, D.D.S., LLC
Practice address
564 S Trimble Rd
Suite a
Mansfield, OH 44906-3418
Phone
(419) 756-0321
Fax
(419) 756-4430
NPI assigned
Jan 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Dr. Dennis James Custer, D.D.S.
Title
Owner/Authorized Official
Phone
(419) 756-0321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 17639 OH Primary

Addresses

Primary practice location

564 S Trimble Rd
Suite a
Mansfield, OH 44906-3418

Mailing address

564 S Trimble Rd
Suite a
Mansfield, OH 44906-3418
Phone (419) 756-0321

National Provider Directory

National Provider Directory

Locations

564 S Trimble Rd
#A
Mansfield, OH 44906
Phone (419) 756-0321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1730501917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 S TRIMBLE RD",
            "address_2": "SUITE A",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063418",
            "telephone_number": "419-756-0321",
            "fax_number": "419-756-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 S TRIMBLE RD",
            "address_2": "SUITE A",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063418",
            "telephone_number": "419-756-0321",
            "fax_number": "419-756-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS J. CUSTER, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "CUSTER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "419-756-0321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OH",
            "license": "17639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.