Organization Active NPI

Apple Tree Dental Center a Dr Zamora Office, LLC

  • Dentist
  • Liberty Township, OH
National Provider Identifier
1750837019
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30023612 Issued in OH
Legal business name
APPLE TREE DENTAL CENTER A DR ZAMORA OFFICE, LLC
Practice address
7350 Yankee Road
Liberty Township, OH 45044
Phone
(513) 484-3355
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Andrew Rene Zamora
Title
Dentist/ Owner
Phone
(513) 484-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 30023612 OH Primary

Addresses

Primary practice location

7350 Yankee Road
Liberty Township, OH 45044

Mailing address

7350 Yankee Road
Liberty Township, OH 45044
Phone (513) 484-3355

Other identifiers 1

IdentifierTypeStateIssuer
0102732MedicaidOH

National Provider Directory

National Provider Directory

Locations

7350 Yankee Rd
Liberty Township, OH 45044
Phone (513) 484-3355

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1750837019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 YANKEE ROAD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "45044",
            "telephone_number": "513-484-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 YANKEE ROAD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "45044",
            "telephone_number": "513-484-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE TREE DENTAL CENTER A DR ZAMORA OFFICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "513-484-3355"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30023612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102732",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.