Adnan Ahmed, DDS
Individual provider Active NPI General Practice Dentistry · Perrysburg, OH
NPI 1891866752 · NPPES record last updated Jan 4, 2021
Key facts
- NPI
- 1891866752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30021695 (OH)
- Practice address
- 775 W South Boundary St
Perrysburg, OH 43551-5226 - Phone
- (419) 893-8431
- Fax
- (419) 893-7234
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160617000753 | OH | Order and Referring Only - Dentist |
2466743620 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-021695 | OH | MD | General Practice Dentistry |
| 30021695 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BDD of Ohio, Aric Kuehner, Inc. | General Practice | Past | Accepting new patients |
| Dr. Adnan Ahmed DDS, Inc. | Past |
Accepting new patients | |
| Dr. Adnan Ahmed DDS, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-021695 | OH | |
| General Practice Dentistry | 1223G0001X | 30021695 | OH | Yes |
Addresses
Primary practice location
775 W South Boundary St
Perrysburg, OH 43551-5226
Mailing address
775 W South Boundary St
Perrysburg, OH 43551-5226
Phone (419) 893-8431
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2834624 | Medicaid | OH |
Other providers in Perrysburg, OH
- Jessica Adkins
- Katrina Renee Adkins
- Aegis Group Practice LLC
- Ags Holding LLC
- Abeer Ahmed Abdelmotaleb
- Adnan Al-Khalili
- Chelsea Alberding
- James Anthony Alexander
- All About Women, Inc
- Mohammad A Alnsour
All providers in Perrysburg, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.