NPIMap

Organization Active NPI

Children'S Smiles Dental Care, Inc.

  • Pediatric Dentistry
  • Lima, OH
National Provider Identifier
1881867778
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30020325 Issued in OH
Legal business name
CHILDREN'S SMILES DENTAL CARE, INC.
Practice address
2969 Blue Jacket CT.
Lima, OH 45806-1464
Phone
(419) 229-3007
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Dr. Tyra L Meyer, DDSMSNPI 1639280878
Title
Pediatric Dentist
Phone
(419) 229-3007

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
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 30020325 OH Primary

Addresses

Primary practice location

2969 Blue Jacket CT.
Lima, OH 45806-1464

Mailing address

2969 Blue Jacket CT
Lima, OH 45806-1464
Phone (419) 229-3007

Other identifiers 1

IdentifierTypeStateIssuer
2354429MedicaidOH

National Provider Directory

National Provider Directory

Locations

2969 Blue Jacket Ct
Lima, OH 45806
Phone (419) 229-3007

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": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1881867778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2969 BLUE JACKET CT",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061464",
            "telephone_number": "419-229-3007",
            "fax_number": "419-229-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 BLUE JACKET CT.",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061464",
            "telephone_number": "419-229-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SMILES DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "TYRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "419-229-3007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDSMS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30020325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2354429",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.