NPIMap

Organization Active NPI

Daniel S Zupsansky DDS, Lee T Hartzler DDS, & Tyler a Overmyer DDS Inc

  • General Practice Dentistry
  • Wooster, OH
National Provider Identifier
1124603725
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DANIEL S ZUPSANSKY DDS, LEE T HARTZLER DDS, & TYLER A OVERMYER DDS INC
Practice address
334 E Milltown Rd
Wooster, OH 44691-1248
Phone
(330) 262-0206
Fax
(330) 262-3809
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Dr. Lee Hartzler, DDSNPI 1922410810
Title
Employer
Phone
(330) 465-1460

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

334 E Milltown Rd
Wooster, OH 44691-1248

Mailing address

334 E Milltown Rd
Wooster, OH 44691-1248
Phone (330) 262-0206

Other practice location 1

145 N Water St
Loudonville, OH 44842-1250
Phone (419) 994-3939

Other identifiers 3

IdentifierTypeStateIssuer
1922410810OtherOHLEE T. HARTZLER
1306984224OtherOHDANIEL S. ZUPSANSKY
1245758226OtherOHTYLER A. OVERMYER

Other names 1

  • Wooster and Loudonville Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

145 N Water St
Loudonville, OH 44842
Phone (419) 994-3939

567 N Market St
Wooster, OH 44691
Phone (330) 262-0206

334 E Milltown Rd
Wooster, OH 44691
Phone (330) 345-7798

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1124603725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 E MILLTOWN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911248",
            "telephone_number": "330-262-0206",
            "fax_number": "330-262-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 E MILLTOWN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911248",
            "telephone_number": "330-262-0206",
            "fax_number": "330-262-3809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 N Water St",
            "address_purpose": "LOCATION",
            "city": "Loudonville",
            "state": "OH",
            "postal_code": "448421250",
            "country_code": "US",
            "telephone_number": "419-994-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANIEL S ZUPSANSKY DDS, LEE T HARTZLER DDS, & TYLER A OVERMYER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "HARTZLER",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "EMPLOYER",
        "authorized_official_telephone_number": "330-465-1460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEE T. HARTZLER",
            "identifier": "1922410810",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DANIEL S. ZUPSANSKY",
            "identifier": "1306984224",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYLER A. OVERMYER",
            "identifier": "1245758226",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wooster and Loudonville Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wooster and Loudonville Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.