Organization Active NPI

Dan H. Constable, D.D.S. & Associates, Inc.

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1750461133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15411 Issued in OH
Legal business name
DAN H. CONSTABLE, D.D.S. & ASSOCIATES, INC.
Practice address
11440 Lippelman Rd
Cincinnati, OH 45246-4098
Phone
(513) 771-9190
Fax
(513) 771-6208
NPI assigned
Oct 17, 2006
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. Dan H Constable, D.D.S.
Title
Owner
Phone
(513) 771-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15411 OH Primary

Addresses

Primary practice location

11440 Lippelman Rd
Cincinnati, OH 45246-4098

Mailing address

11440 Lippelman Rd
Cincinnati, OH 45246-4098
Phone (513) 771-9190

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750461133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 LIPPELMAN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464098",
            "telephone_number": "513-771-9190",
            "fax_number": "513-771-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 LIPPELMAN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464098",
            "telephone_number": "513-771-9190",
            "fax_number": "513-771-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN H. CONSTABLE, D.D.S. & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONSTABLE",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-771-9190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, 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.