Organization Active NPI

Montgomery Family Dentistry and Wellness Center, LLC

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1952958977
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MONTGOMERY FAMILY DENTISTRY AND WELLNESS CENTER, LLC
Practice address
9200 Montgomery Rd Ste 1a
Cincinnati, OH 45242-7730
Phone
(513) 460-3124
NPI assigned
Aug 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Dr. Faith Hayden
Title
Member/Dentist
Phone
(513) 460-3124

Specialties & licenses 1

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

Addresses

Primary practice location

9200 Montgomery Rd Ste 1a
Cincinnati, OH 45242-7730

Mailing address

9200 Montgomery Rd Ste 1a
Cincinnati, OH 45242-7730

National Provider Directory

National Provider Directory

Locations

9200 Montgomery Rd
Ste 1A
Montgomery, OH 45242
Phone (513) 460-3124

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1952958977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 MONTGOMERY RD STE 1A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 MONTGOMERY RD STE 1A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427730",
            "telephone_number": "513-460-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY FAMILY DENTISTRY AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "MEMBER/DENTIST",
        "authorized_official_telephone_number": "513-460-3124",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.