Individual provider Active NPI

Nesreen Aouthmany

  • Dentist
  • Toledo, OH
National Provider Identifier
1770139768
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.025862 Issued in OH
Practice address
613 W Alexis Rd
Toledo, OH 43612
Phone
(833) 378-4827
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30.025862 OH Primary

Addresses

Primary practice location

613 W Alexis Rd
Toledo, OH 43612

Mailing address

8157 Wenonah CT
Sylvania, OH 43560-1091
Phone (419) 882-4170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.025862OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Mobile Dentistry LLC Dentist Current Accepting new patients
Equitas Health, Inc Multi-Specialty PastSince Aug 31, 2026 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1770139768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8157 WENONAH CT",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601091",
            "telephone_number": "419-882-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 W ALEXIS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43612",
            "telephone_number": "833-378-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AOUTHMANY",
        "first_name": "NESREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.