NPIMap

Organization Active NPI

Ohio Orthodontic Specialists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairlawn, OH
National Provider Identifier
1164570255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19830 Issued in OH
Legal business name
OHIO ORTHODONTIC SPECIALISTS
Practice address
2890 Sand Run Pkwy
Suite a
Fairlawn, OH 44333-2875
Phone
(330) 836-0135
Fax
(330) 836-3813
NPI assigned
Jan 8, 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
Dr. Dale A. Kates, D.D.S.
Title
Orthodontist
Phone
(330) 836-0135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 19830 OH Primary

Addresses

Primary practice location

2890 Sand Run Pkwy
Suite a
Fairlawn, OH 44333-2875

Mailing address

2890 Sand Run Pkwy
Suite a
Fairlawn, OH 44333-2875
Phone (330) 836-0135

National Provider Directory

National Provider Directory
Tax ID family
Ohio Orthodontic Specialists4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164570255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 SAND RUN PKWY",
            "address_2": "SUITE A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332875",
            "telephone_number": "330-836-0135",
            "fax_number": "330-836-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 SAND RUN PKWY",
            "address_2": "SUITE A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332875",
            "telephone_number": "330-836-0135",
            "fax_number": "330-836-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO ORTHODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KATES",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "330-836-0135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "19830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, 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.