Organization Active NPI

Donn R Lidington DDS Inc

  • Dental Clinic/Center
  • Willard, OH
National Provider Identifier
1942280912
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
14257 Issued in OH
Legal business name
DONN R LIDINGTON DDS INC
Practice address
500 E Howard St
Willard, OH 44890-1685
Phone
(419) 935-8311
Fax
(419) 935-0812
NPI assigned
Jan 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Donn R Lidington, DDSNPI 1902896806
Title
Pres.
Phone
(419) 935-8311

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
Dental Clinic/Center 261QD0000X 14257 OH Primary

Addresses

Primary practice location

500 E Howard St
Willard, OH 44890-1685

Mailing address

500 E Howard St
Willard, OH 44890-1685
Phone (419) 935-8311

Other identifiers 1

IdentifierTypeStateIssuer
0230995MedicaidOH

National Provider Directory

National Provider Directory

Locations

500 E Howard St
Willard, OH 44890
Phone (419) 933-6681

Practitioners & affiliated clinicians

Practitioners 2

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": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942280912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E HOWARD ST",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448901685",
            "telephone_number": "419-935-8311",
            "fax_number": "419-935-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E HOWARD ST",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448901685",
            "telephone_number": "419-935-8311",
            "fax_number": "419-935-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONN R LIDINGTON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIDINGTON",
        "authorized_official_first_name": "DONN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "419-935-8311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "14257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230995",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willard, 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.