NPIMap

Organization Active NPI

Seva Dental Ohio LLC

  • Dentist
  • Toledo, OH
National Provider Identifier
1801646336
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SEVA DENTAL OHIO LLC
Practice address
4841 Monroe St Ste 256
Toledo, OH 43623-5322
Phone
(419) 474-4974
NPI assigned
Mar 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Kelly Rolnicki
Title
Director of Revenue Cycle
Phone
(708) 372-4773

Specialties & licenses 1

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

Addresses

Primary practice location

4841 Monroe St Ste 256
Toledo, OH 43623-5322

Mailing address

4841 Monroe St Ste 256
Toledo, OH 43623-5322

Other names 1

  • Toledo Dental Team 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seva Dental Ohio LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4841 Monroe St
Ste 256
Toledo, OH 43623
Phone (419) 474-4974

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1801646336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 MONROE ST STE 256",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436235322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 MONROE ST STE 256",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436235322",
            "telephone_number": "419-474-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVA DENTAL OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "ROLNICKI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "708-372-4773"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toledo Dental Team 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.