Organization Active NPI

Dental Management Systems

  • Dentist
  • North Ridgeville, OH
National Provider Identifier
1104020171
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-7 Issued in OH
Legal business name
DENTAL MANAGEMENT SYSTEMS
Practice address
39037 Center Ridge Rd
North Ridgeville, OH 44039-2741
Phone
(440) 327-1021
Fax
(440) 327-1171
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen D. Jordan
Title
President
Phone
(330) 336-2542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30-7 OH Primary

Addresses

Primary practice location

39037 Center Ridge Rd
North Ridgeville, OH 44039-2741

Mailing address

176 Akron Rd
Wadsworth, OH 44281-1918
Phone (330) 336-2542

Other names 1

  • Cobblestone Dental Arts Other name

National Provider Directory

National Provider Directory

Locations

39037 Center Ridge Rd
North Ridgeville, OH 44039
Phone (440) 327-1021

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104020171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 AKRON RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811918",
            "telephone_number": "330-336-2542",
            "fax_number": "888-803-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39037 CENTER RIDGE RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392741",
            "telephone_number": "440-327-1021",
            "fax_number": "440-327-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL MANAGEMENT SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-336-2542",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cobblestone Dental Arts",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Ridgeville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.