Active NPI
Dental Management Systems
- Dentist
- North Ridgeville, OH
National Provider Identifier
1104020171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30-7
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryLocations
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.