Kevin James Ison, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

20408 Issued in OH

Practice address

4845 Rialto Rd
Suite a
West Chester, OH 45069-2910

Phone

(513) 772-6500

Fax

(513) 772-2002

NPI assigned

Aug 5, 2006

Last updated

Feb 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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 KY

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gid Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Liberty Township, OH
  • NPI 1679103865
  NPD (past) Authorized official
• Gruelle Ison Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cincinnati, OH
  • NPI 1093345290
  NPD (past) Authorized official
• Ison Noll Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Chester, OH
  • NPI 1689149320
  NPD (past) Authorized official
• Kevin J. Ison DMD PSC

  dba Orthodontic Specialists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Chester, OH
  • NPI 1770851131
  Authorized official Same address or phone

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1740299163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 RIALTO RD",
            "address_2": "SUITE A",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692910",
            "telephone_number": "513-772-6500",
            "fax_number": "513-772-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 RIALTO RD",
            "address_2": "SUITE A",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692910",
            "telephone_number": "513-772-6500",
            "fax_number": "513-772-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISON",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "20408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Restorative Technologies, LLC (Innovative Pulmonary Partners)
• Institutional Pharmacy Solutions
• Integrative Pain Management
• Integrity Resource Group, LTD (Comfort Keepers)
• Ison Noll Orthodontics LLC
• Rhiana Summer Ison
• Mustafa G Issa
• J-Edify SLP
• Jackson Dental Group, LLC
• Ashley Jackson

• Orthodontics and Dentofacial Orthopedics Dentistry in West Chester, OH
• Providers in West Chester, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.