NPIMap

Organization Active NPI

Moorehead Dentistry LLC

  • Dentist
  • Batavia, OH
National Provider Identifier
1912782160
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MOOREHEAD DENTISTRY LLC
Practice address
285 E Main St Ste 6
Batavia, OH 45103-3041
Phone
(513) 732-0541
Fax
(513) 732-0552
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Phil Michael
Title
Coo
Phone
(513) 462-6583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

285 E Main St Ste 6
Batavia, OH 45103-3041

Mailing address

285 E Main St Ste 6
Batavia, OH 45103-3041
Phone (513) 732-0541

National Provider Directory

National Provider Directory

Locations

285 E Main St
Ste 6
Batavia, OH 45103
Phone (513) 732-0541

Practitioners & affiliated clinicians

Practitioners 3

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": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1912782160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 E MAIN ST STE 6",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451033041",
            "telephone_number": "513-732-0541",
            "fax_number": "513-732-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E MAIN ST STE 6",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451033041",
            "telephone_number": "513-732-0541",
            "fax_number": "513-732-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOREHEAD DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "513-462-6583"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.