Individual provider Active NPI

Jeffrey John Budrys, D.D.S.

  • General Practice Dentistry
  • Mentor, OH
National Provider Identifier
1013172303
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-022771 Issued in OH
Practice address
7423 Mentor Ave
Mentor, OH 44060-5405
Phone
(440) 951-1318
Fax
(440) 951-2729
NPI assigned
Jul 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-022771 OH Primary

Addresses

Primary practice location

7423 Mentor Ave
Mentor, OH 44060-5405

Mailing address

7423 Mentor Ave
Mentor, OH 44060-5405
Phone (440) 951-1318

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160208000193 OH Order and Referring Only - DentistPractitioner - Dentist 7911201215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-022771OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Budrys Dental Paul Mikhli DDS Inc PastSince Sep 10, 2023 Accepting new patients
Algirdas V. Budrys D.D.S. Inc. General Practice Past Accepting new patients

Networks

  • KY PPO C-SNP
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1013172303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7423 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605405",
            "telephone_number": "440-951-1318",
            "fax_number": "440-951-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7423 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605405",
            "telephone_number": "440-951-1318",
            "fax_number": "440-951-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDRYS",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.