NPIMap

Organization Active NPI

Waterloo Dental Associates

  • General Practice Dentistry
  • Akron, OH
National Provider Identifier
1053406884
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.017647 Issued in OH
Legal business name
WATERLOO DENTAL ASSOCIATES
Practice address
475 E Waterloo Rd
Akron, OH 44319-1240
Phone
(330) 773-0331
Fax
(330) 773-4206
NPI assigned
Oct 4, 2006
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
Dr. Gregory Droba, D.D.S.NPI 1851486583
Title
Owner
Phone
(330) 773-0331

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30.017647 OH Primary

Addresses

Primary practice location

475 E Waterloo Rd
Akron, OH 44319-1240

Mailing address

475 E Waterloo Rd
Akron, OH 44319-1240
Phone (330) 773-0331

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1053406884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E WATERLOO RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443191240",
            "telephone_number": "330-773-0331",
            "fax_number": "330-773-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E WATERLOO RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443191240",
            "telephone_number": "330-773-0331",
            "fax_number": "330-773-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLOO DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DROBA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-773-0331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.017647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, 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.