Lee Anthony Taito, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

09061 Issued in IA

Practice address

403 E Kemper Rd
Springdale, OH 45246-3228

Phone

(513) 729-7245

Fax

(513) 808-9656

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Springdale Modern Dentistry, PC, Inc.

  • Dentist
  • Springdale, OH
  • NPI 1518428374
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1740339860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 OAKWOOD AVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435451066",
            "telephone_number": "920-585-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E KEMPER RD",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452463228",
            "telephone_number": "513-729-7245",
            "fax_number": "513-808-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAITO",
        "first_name": "LEE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017085",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30.021961",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "09061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENDODONTICS",
            "identifier": "1740339860",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Springdale Modern Dentistry, PC, Inc.
• Elizabeth Stauffer
• Sterling Community Pharmacy
• Sterling Community Pharmacy LTC
• Deonna Le'Nair Suggs
• Target Health Care LLC
• Jermil Tarver, LSW
• Adel M Tawadros, DDS
• Kaitlyn Taylor
• Tears of Joy Home Health Care LLC

• Endodontics in Springdale, OH
• Providers in Springdale, OH by specialty
• Endodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.