NPIMap

Organization Active NPI

Family Tree Dental D Austin Rehl DDS LLC

Doing business as Family Tree Dental

  • General Practice Dentistry
  • Marietta, OH
National Provider Identifier
1922438753
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30022798 Issued in OH
Legal business name
FAMILY TREE DENTAL D AUSTIN REHL DDS LLC
Doing business as
Family Tree Dental
Practice address
319 Colegate Dr
Marietta, OH 45750-9558
Phone
(740) 374-7060
Fax
(740) 374-0023
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Donald Austin Rehl, DDSNPI 1316108277
Title
Owner/Manager
Phone
(740) 374-7060

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30022798 OH Primary

Addresses

Primary practice location

319 Colegate Dr
Marietta, OH 45750-9558

Mailing address

319 Colegate Dr
Marietta, OH 45750-9558
Phone (740) 374-7060

Other names 1

  • Family Tree Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1922438753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509558",
            "telephone_number": "740-374-7060",
            "fax_number": "740-374-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509558",
            "telephone_number": "740-374-7060",
            "fax_number": "740-374-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE DENTAL D AUSTIN REHL DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "REHL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "740-374-7060",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Tree Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.