NPIMap

Organization Active NPI

Oral Implants and Reconstructive Dentistry

  • Prosthodontics
  • Lewis Center, OH
National Provider Identifier
1942331137
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
18905 Issued in OH
Legal business name
ORAL IMPLANTS AND RECONSTRUCTIVE DENTISTRY
Practice address
145 Green Meadows Drive South
Lewis Center, OH 43035
Phone
(614) 885-1215
Fax
(614) 885-9314
NPI assigned
Mar 8, 2007
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. Robert Louis Heller, DDSNPI 1093846214
Title
President
Phone
(614) 885-1215

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
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 18905 OH Primary

Addresses

Primary practice location

145 Green Meadows Drive South
Lewis Center, OH 43035

Mailing address

145 Green Meadows Dr S
Lewis Center, OH 43035-9458
Phone (614) 885-1215

National Provider Directory

National Provider Directory

Locations

145 Green Meadows Dr S
Lewis Center, OH 43035
Phone (614) 885-1215

Practitioners & affiliated clinicians

Practitioners 3

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942331137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 GREEN MEADOWS DR S",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359458",
            "telephone_number": "614-885-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 GREEN MEADOWS DRIVE SOUTH",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "43035",
            "telephone_number": "614-885-1215",
            "fax_number": "614-885-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL IMPLANTS AND RECONSTRUCTIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-885-1215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "18905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, 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.