Thomas Robert Kaufholz, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30.016829 Issued in OH

Practice address

4550 Belden Village St NW
Canton, OH 44718-2524

Phone

(330) 499-4600

Fax

(330) 491-8179

NPI assigned

Apr 27, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1063703932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 BELDEN VILLAGE ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182524",
            "telephone_number": "330-499-4600",
            "fax_number": "330-491-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 BELDEN VILLAGE ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182524",
            "telephone_number": "330-499-4600",
            "fax_number": "330-491-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFHOLZ",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.016829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James F Kast Jr., DDS
• Andrew Owen Katcher, PHARMD
• Kate'S Heavenly Hands, LLC
• Tapiwa E Katsande, CT
• Erica Lindars Katz, MD
• Stephen Richard Kaufman, M.D.
• Elliot Michael Kay, M.D. 5/2012
• Danielle Kaya, MS, RD, LD, CNSC
• Erica Kayatin, MAED
• Kayla Kayatin, OTR/L

• Dentist in Canton, OH
• Providers in Canton, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.