Individual provider Active NPI

Sandra Liliana Rada Orbegozo

  • General Practice Dentistry
  • Blue Ash, OH
National Provider Identifier
1811742786
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.028669 Issued in OH
Practice address
4157 Hunt Rd
Blue Ash, OH 45236-1158
Phone
(513) 791-6154
Fax
(513) 791-1449
NPI assigned
Apr 23, 2024
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.028669 OH Primary
Dentist 122300000X 30.028669 OH

Addresses

Primary practice location

4157 Hunt Rd
Blue Ash, OH 45236-1158

Mailing address

4157 Hunt Rd
Blue Ash, OH 45236-1158
Phone (513) 791-6154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RES.004729OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Harris, Sirkin & Kruger General Practice Past Accepting new patients
CD Ohio Derrick Kruger DDS, Inc. Dentist Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1811742786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 HUNT RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452361158",
            "telephone_number": "513-791-6154",
            "fax_number": "513-791-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 HUNT RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452361158",
            "telephone_number": "513-791-6154",
            "fax_number": "513-791-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADA ORBEGOZO",
        "first_name": "SANDRA",
        "middle_name": "LILIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.028669",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.028669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.