Organization Active NPI

Changing Smiles Inc

  • General Practice Dentistry
  • Sidney, OH
National Provider Identifier
1881754026
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014420 Issued in OH
Legal business name
CHANGING SMILES INC
Practice address
325 2ND Ave
Sidney, OH 45365-1283
Phone
(937) 492-1790
Fax
(937) 492-2167
NPI assigned
Dec 11, 2006
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
Mrs. Ollie Mae Anthony
Title
Office Manager
Phone
(937) 492-1790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 014420 OH Primary

Addresses

Primary practice location

325 2ND Ave
Sidney, OH 45365-1283

Mailing address

325 2ND Ave
Sidney, OH 45365-1283
Phone (937) 492-1790

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881754026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 2ND AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651283",
            "telephone_number": "937-492-1790",
            "fax_number": "937-492-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 2ND AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651283",
            "telephone_number": "937-492-1790",
            "fax_number": "937-492-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING SMILES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "OLLIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-492-1790",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "014420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, 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.