NPIMap

Organization Active NPI

WM. L. Simko & George Haritonovich DDS Inc.

  • General Practice Dentistry
  • North Olmsted, OH
National Provider Identifier
1053558601
Registry record updated Jan 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18653 Issued in OH
Legal business name
WM. L. SIMKO & GEORGE HARITONOVICH DDS INC.
Practice address
26777 Lorain Rd
#417
North Olmsted, OH 44070-3200
Phone
(440) 779-7292
Fax
(440) 779-0552
NPI assigned
Jan 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2009

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

Authorized official

Name
Dr. George Haritonovich, DDSNPI 1982750188
Title
Dentist / Vice President
Phone
(440) 779-7292

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 18653 OH Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 13759 OH

Addresses

Primary practice location

26777 Lorain Rd
#417
North Olmsted, OH 44070-3200

Mailing address

26777 Lorain Rd
#417
North Olmsted, OH 44070-3200
Phone (440) 779-7292

National Provider Directory

National Provider Directory

Locations

26777 Lorain Rd
Ste 417
North Olmsted, OH 44070
Phone (440) 779-7292

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": "1232236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232236800000",
    "number": "1053558601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD",
            "address_2": "#417",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703200",
            "telephone_number": "440-779-7292",
            "fax_number": "440-779-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD",
            "address_2": "#417",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703200",
            "telephone_number": "440-779-7292",
            "fax_number": "440-779-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM. L. SIMKO & GEORGE HARITONOVICH DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-18",
        "last_updated": "2009-01-18",
        "status": "A",
        "authorized_official_last_name": "HARITONOVICH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DENTIST  /  VICE PRESIDENT",
        "authorized_official_telephone_number": "440-779-7292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18653",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "13759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2009; 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.