Organization Active NPI

Ohio Valley Dental Care LLC

  • General Practice Dentistry
  • West Union, OH
National Provider Identifier
1841417250
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.021534 Issued in OH
Legal business name
OHIO VALLEY DENTAL CARE LLC
Practice address
114 W North St
West Union, OH 45693-1021
Phone
(937) 544-5591
Fax
(937) 544-5448
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew T. Nogle, DMD
Title
Owner
Phone
(937) 544-5591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.021534 OH Primary

Addresses

Primary practice location

114 W North St
West Union, OH 45693-1021

Mailing address

114 W North St
West Union, OH 45693-1021
Phone (937) 544-5591

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841417250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W NORTH ST",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456931021",
            "telephone_number": "937-544-5591",
            "fax_number": "937-544-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W NORTH ST",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456931021",
            "telephone_number": "937-544-5591",
            "fax_number": "937-544-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOGLE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-544-5591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.021534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.