NPIMap

Organization Active NPI

Gregory E Kramer DDS & Michael a Goyettedds Inc

  • General Practice Dentistry
  • Medina, OH
National Provider Identifier
1043438351
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GREGORY E KRAMER DDS & MICHAEL A GOYETTEDDS INC
Practice address
3637 Medina Rd Ste 100
Medina, OH 44256-8153
Phone
(330) 725-7022
Fax
(330) 725-1037
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Ms. Dana L Ecke
Title
Treatment Coordinator
Phone
(330) 725-7022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3637 Medina Rd Ste 100
Medina, OH 44256-8153

Mailing address

3637 Medina Rd Ste 100
Medina, OH 44256-8153
Phone (330) 725-7022

National Provider Directory

National Provider Directory

Locations

3637 Medina Rd
Ste 100
Medina, OH 44256
Phone (330) 725-7022

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1043438351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD STE 100",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568153",
            "telephone_number": "330-725-7022",
            "fax_number": "330-725-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD STE 100",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568153",
            "telephone_number": "330-725-7022",
            "fax_number": "330-725-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY E KRAMER DDS & MICHAEL A GOYETTEDDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ECKE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "TREATMENT COORDINATOR",
        "authorized_official_telephone_number": "330-725-7022",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.