Daniel Vicente Escovar, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30025242 Issued in OH

Practice address

4900 Milan Rd
Sandusky, OH 44870-5842

Phone

(419) 624-1120

NPI assigned

Jun 1, 2015

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Metrohealth System

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896
  Medicare reassignment NPD
• The Metrohealth System

  • Pharmacy
  • Cleveland, OH
  • NPI 1992529911
  NPD

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1073993598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MILAN RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705842",
            "telephone_number": "419-624-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MILAN RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705842",
            "telephone_number": "419-624-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1687 E Ash Dr",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "OH",
            "postal_code": "440111468",
            "country_code": "US",
            "telephone_number": "216-413-2774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCOVAR",
        "first_name": "DANIEL",
        "middle_name": "VICENTE",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30025242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erie Residential Living, Inc.
• Erie Shore Network, Inc.
• Erie Shores Surgery Center LLC
• Brookelyn Ernst, LSW
• Shannon Erskine
• Amy Espinoza, HHA
• Ethel J. Roldan Center for Cultural Awareness Inc.
• Bethany Grace Evans, LSW
• Pamela Jo Evans, PT
• Executive Urology

• General Practice Dentistry in Sandusky, OH
• Providers in Sandusky, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.