Organization Active NPI

University Pointe Endodontics Michael Fuller D.D.S. M.S. LLC

  • Endodontics
  • West Chester, OH
National Provider Identifier
1770009474
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
30-023412 Issued in OH
Legal business name
UNIVERSITY POINTE ENDODONTICS MICHAEL FULLER D.D.S. M.S. LLC
Practice address
7760 W Voice of America Park Dr Ste a
West Chester, OH 45069-3371
Phone
(513) 759-2700
NPI assigned
Aug 15, 2017
Last updated
Aug 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Authorized official

Name
Dr. Michael D. Fuller, DDSNPI 1972816221
Title
President
Phone
(330) 807-4128

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
Endodontics 1223E0200X 30-023412 OH Primary

Addresses

Primary practice location

7760 W Voice of America Park Dr Ste a
West Chester, OH 45069-3371

Mailing address

7760 W Voice of America Park Dr Ste a
West Chester, OH 45069-3371

National Provider Directory

National Provider Directory

Locations

7760 W Voice of America Park Dr
Ste A
West Chester, OH 45069
Phone (513) 759-2700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1770009474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 W VOICE OF AMERICA PARK DR STE A",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 W VOICE OF AMERICA PARK DR STE A",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693371",
            "telephone_number": "513-759-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY POINTE ENDODONTICS MICHAEL FULLER D.D.S. M.S. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-807-4128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30-023412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.