NPIMap

Organization Active NPI

Dorothy Lane Dental, Ganesh Loganathan, D.D.S., Inc.

  • Dentist
  • Moraine, OH
National Provider Identifier
1790095271
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30019355 Issued in OH
Legal business name
DOROTHY LANE DENTAL, GANESH LOGANATHAN, D.D.S., INC.
Practice address
1633 W Dorothy LN
Moraine, OH 45439-1836
Phone
(937) 298-4221
Fax
(937) 395-3665
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Ganesh Loganathan, DDSNPI 1427079359
Title
President
Phone
(937) 298-4221

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30019355 OH Primary

Addresses

Primary practice location

1633 W Dorothy LN
Moraine, OH 45439-1836

Mailing address

1633 W Dorothy LN
Moraine, OH 45439-1836
Phone (937) 298-4221

National Provider Directory

National Provider Directory

Locations

1633 W Dorothy Ln
Moraine, OH 45439
Phone (937) 298-4221

Practitioners & affiliated clinicians

Practitioners 2

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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1790095271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 W DOROTHY LN",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391836",
            "telephone_number": "937-298-4221",
            "fax_number": "937-395-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 W DOROTHY LN",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391836",
            "telephone_number": "937-298-4221",
            "fax_number": "937-395-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHY LANE DENTAL, GANESH LOGANATHAN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "LOGANATHAN",
        "authorized_official_first_name": "GANESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-298-4221",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30019355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.