NPIMap

Organization Active NPI

Robert M. Tootle DDS, Inc.

  • General Practice Dentistry
  • Circleville, OH
National Provider Identifier
1750403093
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30016505 Issued in OH
Legal business name
ROBERT M. TOOTLE DDS, INC.
Practice address
600 N Court St
Circleville, OH 43113-1226
Phone
(740) 477-2220
Fax
(740) 477-1659
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Mark Tootle, DDSNPI 1174645485
Title
President
Phone
(740) 477-2220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30016505 OH Primary

Addresses

Primary practice location

600 N Court St
Circleville, OH 43113-1226

Mailing address

600 N Court St
Circleville, OH 43113-1226
Phone (740) 477-2220

Other identifiers 1

IdentifierTypeStateIssuer
0448411MedicaidOH

National Provider Directory

National Provider Directory

Locations

600 N Court St
Circleville, OH 43113
Phone (740) 477-2220

Practitioners & affiliated clinicians

Practitioners 3

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750403093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131226",
            "telephone_number": "740-477-2220",
            "fax_number": "740-477-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131226",
            "telephone_number": "740-477-2220",
            "fax_number": "740-477-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M. TOOTLE DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOOTLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-477-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30016505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448411",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.