NPIMap

Organization Active NPI

Erndt Yonchak & Agarwala DDS Ms Inc

  • Endodontics
  • Fairfield, OH
National Provider Identifier
1043371388
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
18306 Issued in OH
Legal business name
ERNDT YONCHAK & AGARWALA DDS MS INC
Practice address
5180 Winton Rd
Fairfield, OH 45014-2900
Phone
(513) 829-1935
Fax
(513) 829-0413
NPI assigned
Dec 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas A Yonchak, DDS MSNPI 1316009392
Title
Vice President Erndt Yonchak & Agar
Phone
(513) 829-1935

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 15690 OH
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 18306 OH Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 21698 OH

Addresses

Primary practice location

5180 Winton Rd
Fairfield, OH 45014-2900

Mailing address

5180 Winton Rd
Fairfield, OH 45014-2900
Phone (513) 829-1935

Other names 1

  • Erndt Yonchak & Halcomb DDS MS Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Erndt Yonchak Agarwala DDS Ms Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5180 Winton Rd
Fairfield, OH 45014
Phone (513) 829-1935

Practitioners & affiliated clinicians

Practitioners 3

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043371388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 WINTON RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142900",
            "telephone_number": "513-829-1935",
            "fax_number": "513-829-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 WINTON RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142900",
            "telephone_number": "513-829-1935",
            "fax_number": "513-829-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNDT YONCHAK & AGARWALA DDS MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YONCHAK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT ERNDT YONCHAK & AGAR",
        "authorized_official_telephone_number": "513-829-1935",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "15690",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "18306",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "21698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erndt Yonchak & Halcomb DDS MS Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.