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A REZA MIREMADI MD DDS LLC
NPI 1053597930
Dentist - Oral and Maxillofacial Surgery in Springboro, OH

Active since January 10, 2008CLIA 36D2000155 · Waiver
576 N MAIN ST, SPRINGBORO, OH 45066(937) 748-8814(937) 748-8817 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About A Reza Miremadi Md Dds Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A REZA MIREMADI MD DDS LLC (NPI 1053597930) is a healthcare organization registered as an oral and maxillofacial surgery in Springboro, Ohio and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Cindy Laymaster, Financial Manager, as its authorized official.

NPPES Registry Identity

NPI1053597930
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameA REZA MIREMADI MD DDS LLC
Location Address576 N MAIN STSpringboro, OH 45066-9552
Mailing Address576 N Main StSpringboro, OH 45066-9552 · (937) 748-8814 · Fax (937) 748-8817
Phone(937) 748-8814
Fax(937) 748-8817
Organization SubpartNo
Authorized OfficialCindy LaymasterFinancial Manager · (937) 748-8814
Enumeration DateJanuary 10, 2008
Last NPPES UpdateJanuary 9, 2014
✔ NPI 1053597930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
576 N MAIN ST, Springboro, OH 45066
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH94832OH
Medicare PIN9337901OH
Medicaid2421132OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2000155

A Reza Miremadi MD Dds LLC · Springboro, OH
Active · expires Nov 19, 2027
CLIA Number36D2000155
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorDr. Abdol R. Miremadi
Laboratory Phone(937) 748-8814
Laboratory LocationA Reza Miremadi MD Dds LLC576 North Main Street, Springboro, OH 45066
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMI SUE LOCKE CST
Technician, Other
576 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 748-8814
DR. JAEHEE HONG D.M.D.
Dentist (Oral and Maxillofacial Surgery)
576 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 748-8814
MS. CHERYL A PHELAN R.N.
Registered Nurse
576 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 748-8814
DR. MICHAEL S. MONTO DMD, MD
Dentist (Oral and Maxillofacial Surgery)
576 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 748-8814
MRS. KAREN SUE LOVELACE C.D.A.
Dental Assistant
576 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 748-8814
MRS. SHEILA ANN WOLSEFER C.D.A.
Dental Assistant
576 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 748-8814
A REZA MIREMADI M.D., DDS., LLC
Specialist
576 N MAIN ST
SPRINGBORO, OH 45066
Warren County (937) 748-8814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Reza Miremadi MD Dds LLC's NPI number?

The NPI number for A Reza Miremadi MD Dds LLC is 1053597930. It was assigned to this organization in the NPPES registry on January 10, 2008.

Where is A Reza Miremadi MD Dds LLC located?

A Reza Miremadi MD Dds LLC is located at 576 N Main St, Springboro, OH 45066. The listed phone number is (937) 748-8814.

What is A Reza Miremadi MD Dds LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Does A Reza Miremadi MD Dds LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2000155) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does A Reza Miremadi MD Dds LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list A Reza Miremadi MD Dds LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for A Reza Miremadi MD Dds LLC was last updated on January 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.