NPIMap

Organization Active NPI

Jeffrey M. Palusak DDS, Inc

  • General Practice Dentistry
  • Columbiana, OH
National Provider Identifier
1124285929
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.020411 Issued in OH
Legal business name
JEFFREY M. PALUSAK DDS, INC
Practice address
155 Deal Dr
Columbiana, OH 44408-8496
Phone
(330) 482-3627
NPI assigned
May 20, 2008
Last updated
Mar 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Dr. Jeffrey Michael Palusak, DDSNPI 1285842229
Title
President
Phone
(330) 482-3627

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.020411 OH Primary

Addresses

Primary practice location

155 Deal Dr
Columbiana, OH 44408-8496

Mailing address

155 Deal Dr
Columbiana, OH 44408-8496
Phone (330) 482-3627

National Provider Directory

National Provider Directory

Locations

155 Deal Dr
Columbiana, OH 44408
Phone (330) 482-3627

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1124285929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 DEAL DR",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088496",
            "telephone_number": "330-482-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 DEAL DR",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088496",
            "telephone_number": "330-482-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M. PALUSAK DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "PALUSAK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-482-3627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.020411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbiana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.