NPIMap

Organization Active NPI

Karl G. Espeleta, DDS, LLC

  • General Practice Dentistry
  • Englewood, OH
National Provider Identifier
1982090650
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19509 Issued in OH
Legal business name
KARL G. ESPELETA, DDS, LLC
Practice address
110 W Wenger Rd
Englewood, OH 45322-2725
Phone
(937) 836-6066
Fax
(937) 832-1747
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dr. Karl Gerardo Espeleta, DDSNPI 1841392396
Title
Owner
Phone
(937) 836-6066

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19509 OH Primary

Addresses

Primary practice location

110 W Wenger Rd
Englewood, OH 45322-2725

Mailing address

110 W Wenger Rd
Englewood, OH 45322-2725
Phone (937) 836-6066

National Provider Directory

National Provider Directory

Locations

110 W Wenger Rd
Englewood, OH 45322
Phone (937) 836-6066

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1982090650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W WENGER RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222725",
            "telephone_number": "937-836-6066",
            "fax_number": "937-832-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W WENGER RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222725",
            "telephone_number": "937-836-6066",
            "fax_number": "937-832-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL G. ESPELETA, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "ESPELETA",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "GERARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-836-6066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.