Scott Jerome Hudepohl, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30.024171 Issued in OH

Practice address

812 E 185TH St
Cleveland, OH 44119-2702

Phone

(216) 481-9900

NPI assigned

Apr 4, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hudepohl Family Dentistry LLC

  • General Practice Dentistry
  • Cleveland, OH
  • NPI 1942891981
  NPD Authorized official

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1003159385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 E 185TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441192702",
            "telephone_number": "216-481-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 E 185TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441192702",
            "telephone_number": "216-481-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDEPOHL",
        "first_name": "SCOTT",
        "middle_name": "JEROME",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J Hudec, DMD
• David E Hudec, DDS
• John A Hudec, DDS
• Justin Hudecek
• Hudepohl Family Dentistry LLC
• Briana Hudgins
• Norris Hudnall
• Paul Hudock, MD
• Debra N Hudson Davis
• Amy Hudson, QMHSBA CMSBA

• Dentist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.