OrganizationActive
City of Cincinnati
NPI 1073836789 · Primary Care Clinic/Center · Cincinnati, OH
Provider details
- NPI number
- 1073836789
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- City of Cincinnati- Cincinnati Health Dept
- Organization subpart
- Yes
- Authorized official
- Noble Maseru, Health Commissioner(513) 357-7280
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
612 Rockdale Ave
Cincinnati, OH 45229-2919
Phone: (513) 352-4072
Fax: (513) 357-7477
Street-level locationGet directions
Mailing address
3101 Burnet Ave
Cincinnati, OH 45229-3014
Other names (DBA / former)
- Doing business as
- Cincinnati Health Dept Crest Smile Shoppe
Registry dates
- Enumerated
- 2010-03-09
- Last updated
- 2010-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.