NPIMap

Organization Active NPI

Kno-Ho-Co Ashland C.a.C

  • Public Health Dentistry
  • Ashland, OH
National Provider Identifier
1972620276
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
KNO-HO-CO ASHLAND C.A.C
Doing business as
Ashland Dental Clinic
Practice address
1797 Seddon CT
Ashland, OH 44805-3583
Phone
(419) 289-4957
Fax
(419) 282-6987
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Authorized official

Name
Mrs. Kathy Renee' Breitinger
Title
Ashland Dental Clinic Director
Phone
(419) 289-4957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

1797 Seddon CT
Ashland, OH 44805-3583

Mailing address

1797 Seddon CT
Ashland, OH 44805-3583
Phone (419) 289-4957

Other identifiers 1

IdentifierTypeStateIssuer
2106401MedicaidOH

Other names 1

  • Ashland Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kno-Ho-Co-Ashland Community Action Commission3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

205 Maple St
Ashland, OH 44805

1797 Seddon Ct
Ashland, OH 44805
Phone (419) 289-4957

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1972620276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 SEDDON CT",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053583",
            "telephone_number": "419-289-4957",
            "fax_number": "419-282-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 SEDDON CT",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053583",
            "telephone_number": "419-289-4957",
            "fax_number": "419-282-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNO-HO-CO ASHLAND C.A.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "BREITINGER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "RENEE'",
        "authorized_official_title_or_position": "ASHLAND DENTAL CLINIC DIRECTOR",
        "authorized_official_telephone_number": "419-289-4957",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2106401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashland Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ashland Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.