NPIMap

Organization Active NPI

Ross Dental Group

  • General Practice Dentistry
  • Fairfield, OH
National Provider Identifier
1891176178
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.024480 Issued in OH
Legal business name
ROSS DENTAL GROUP
Practice address
3825 Kraus LN
Unit J
Fairfield, OH 45014-5867
Phone
(513) 738-2606
NPI assigned
Jun 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Dr. Daniel Smith, DDS
Title
General Dentist
Phone
(513) 738-2606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30.024480 OH Primary

Addresses

Primary practice location

3825 Kraus LN
Unit J
Fairfield, OH 45014-5867

Mailing address

3825 Kraus LN
Unit J
Fairfield, OH 45014-5867
Phone (513) 738-2606

National Provider Directory

National Provider Directory
Tax ID family
Edward W Hesse DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1891176178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 KRAUS LN",
            "address_2": "UNIT J",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145867",
            "telephone_number": "513-738-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 KRAUS LN",
            "address_2": "UNIT J",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145867",
            "telephone_number": "513-738-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "513-738-2606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.