Organization Active NPI

DDC Endodontics LLC

  • Endodontics
  • Middleburg Heights, OH
National Provider Identifier
1023532421
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
DDC ENDODONTICS LLC
Practice address
7081 Pearl Road
Middleburg Heights, OH 44130-8361
Phone
(216) 282-1491
Fax
(216) 920-9592
NPI assigned
Jul 28, 2017
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Gail Sandish
Title
Admin Asst
Phone
(216) 485-5788

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 30-025210 OH
Endodontics 1223E0200X 30-025207 OH
Endodontics 1223E0200X Primary
General Practice Dentistry 1223G0001X 30-015265 OH

Addresses

Primary practice location

7081 Pearl Road
Middleburg Heights, OH 44130-8361

Mailing address

6700 West Snowville Road
Brecksville, OH 44141-3285
Phone (216) 485-5788

National Provider Directory

National Provider Directory

Locations

23250 Mercantile Rd
Ste 110
Beachwood, OH 44122
Phone (216) 920-9593

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1023532421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WEST SNOWVILLE ROAD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413285",
            "telephone_number": "216-485-5788",
            "fax_number": "216-920-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7081 PEARL ROAD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308361",
            "telephone_number": "216-282-1491",
            "fax_number": "216-920-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDC ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "SANDISH",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "ADMIN ASST",
        "authorized_official_telephone_number": "216-485-5788"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30-025210",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30-025207",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-015265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.