Organization Active NPI

CG Dental Care

  • General Practice Dentistry
  • Sharonville, OH
National Provider Identifier
1922597921
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CG DENTAL CARE
Practice address
11438 Lebanon Rd Unit a
Sharonville, OH 45241-6201
Phone
(513) 738-4900
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
William H Castellanos
Title
Manager
Phone
(857) 206-4448

Specialties & licenses 1

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

Addresses

Primary practice location

11438 Lebanon Rd Unit a
Sharonville, OH 45241-6201

Mailing address

1097 Bear Grass Way
Maineville, OH 45039-7003
Phone (857) 206-4448

National Provider Directory

National Provider Directory

Locations

11438 Lebanon Rd
Unit A
Sharonville, OH 45241
Phone (513) 738-4900

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": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1922597921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 BEAR GRASS WAY",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450397003",
            "telephone_number": "857-206-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11438 LEBANON RD UNIT A",
            "city": "SHARONVILLE",
            "state": "OH",
            "postal_code": "452416201",
            "telephone_number": "513-738-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "857-206-4448"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharonville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.