Organization Active NPI

Joanna Kleckner DDS Inc

  • Dental Clinic/Center
  • Cuyahoga Falls, OH
National Provider Identifier
1174053896
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21778 Issued in OH
Legal business name
JOANNA KLECKNER DDS INC
Practice address
2080 State Rd
Cuyahoga Falls, OH 44223-1426
Phone
(330) 923-5287
Fax
(330) 923-6033
NPI assigned
Jun 14, 2017
Last updated
Feb 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Dr. Joanna Kleckner, DDSNPI 1538168281
Title
Owner, President
Phone
(330) 923-5287

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
Dental Clinic/Center 261QD0000X 21778 OH Primary

Addresses

Primary practice location

2080 State Rd
Cuyahoga Falls, OH 44223-1426

Mailing address

2080 State Rd
Cuyahoga Falls, OH 44223-1426
Phone (330) 923-5287

National Provider Directory

National Provider Directory

Locations

431 Broad Blvd
Cuyahoga Falls, OH 44221

2080 State Rd
Cuyahoga Fls, OH 44223
Phone (330) 923-5287

Practitioners & affiliated clinicians

Practitioners 2

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": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1174053896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 STATE RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231426",
            "telephone_number": "330-923-5287",
            "fax_number": "330-923-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 STATE RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231426",
            "telephone_number": "330-923-5287",
            "fax_number": "330-923-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA KLECKNER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "KLECKNER",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "330-923-5287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "21778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.