Individual provider Active NPI

Ermias Getachew Workneh, DDS

  • General Practice Dentistry
  • Lancaster, OH
National Provider Identifier
1962054569
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30026323 Issued in OH
Practice address
1366 Ety Rd NW
Lancaster, OH 43130-7765
Phone
(740) 687-1617
NPI assigned
Jul 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30026323 OH Primary

Addresses

Primary practice location

1366 Ety Rd NW
Lancaster, OH 43130-7765

Mailing address

7294 Aracari Dr Apt 201
Pickerington, OH 43147-7615
Phone (614) 592-0894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30026323OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1962054569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7294 ARACARI DR APT 201",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477615",
            "telephone_number": "614-592-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 ETY RD NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431307765",
            "telephone_number": "740-687-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKNEH",
        "first_name": "ERMIAS",
        "middle_name": "GETACHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30026323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.