Active NPI
Peter G Michalos DDS Inc.
- General Practice Dentistry
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15190
- Legal business name
- PETER G MICHALOS DDS INC.
- Practice address
- 4368 Dressler Rd NW
Suite 203
Canton, OH 44718-2771 - Phone
- (330) 492-0134
- Fax
- (330) 492-0410
- NPI assigned
- May 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter G Michalos, D.D.S.
- Title
- President
- Phone
- (330) 492-0134
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15190 | OH | Primary |
Addresses
Primary practice location
4368 Dressler Rd NW
Suite 203
Canton, OH 44718-2771
Mailing address
4368 Dressler Rd NW
Suite 203
Canton, OH 44718-2771
Phone (330) 492-0134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598841421 | Other | OH | NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Peter G Michalos DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Canton, OH
- NPI 1598841421
Locations
4368 Dressler Rd NW
Ste 203
Canton, OH 44718
Phone (330) 492-0134
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Canton, OH
- NPI 1932360898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211500800000",
"number": "1003023318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4368 DRESSLER RD NW",
"address_2": "SUITE 203",
"city": "CANTON",
"state": "OH",
"postal_code": "447182771",
"telephone_number": "330-492-0134",
"fax_number": "330-492-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4368 DRESSLER RD NW",
"address_2": "SUITE 203",
"city": "CANTON",
"state": "OH",
"postal_code": "447182771",
"telephone_number": "330-492-0134",
"fax_number": "330-492-0410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER G MICHALOS DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2008-05-23",
"status": "A",
"authorized_official_last_name": "MICHALOS",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-492-0134",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "15190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1598841421",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.