Organization Active NPI

Kalniz Dental - Maumee, LLC

  • General Practice Dentistry
  • Maumee, OH
National Provider Identifier
1891816294
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-020857 Issued in OH
Legal business name
KALNIZ DENTAL - MAUMEE, LLC
Practice address
6029 Manley Rd
Maumee, OH 43537-1534
Phone
(419) 536-7265
Fax
(419) 724-1651
NPI assigned
Apr 3, 2007
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. Scott B. Kalniz, DDS
Title
Owner
Phone
(419) 536-7265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30-020857 OH Primary

Addresses

Primary practice location

6029 Manley Rd
Maumee, OH 43537-1534

Mailing address

6029 Manley Rd
Maumee, OH 43537-1534
Phone (419) 536-7265

Other names 1

  • Reynolds Corners Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kalniz Dental - Maumee LLC2 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.

Locations

6029 Manley Rd
Maumee, OH 43537
Phone (419) 536-7265

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891816294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 MANLEY RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371534",
            "telephone_number": "419-536-7265",
            "fax_number": "419-724-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 MANLEY RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371534",
            "telephone_number": "419-536-7265",
            "fax_number": "419-724-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALNIZ DENTAL - MAUMEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALNIZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-536-7265",
        "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": "30-020857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reynolds Corners Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maumee, 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.