Individual provider Active NPI

Thomas J Drockton, D.D.S.

  • Dentist
  • Mayfield HTS, OH
National Provider Identifier
1194066688
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-024219 Issued in OH
Practice address
5825 Landerbrook Dr
Suite 222
Mayfield HTS, OH 44124-6532
Phone
(216) 752-8888
NPI assigned
Mar 7, 2013
Last updated
Sep 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-024219 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

5825 Landerbrook Dr
Suite 222
Mayfield HTS, OH 44124-6532

Mailing address

10640 Cedar Rd
Chesterland, OH 44026-3626
Phone (440) 376-8943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30-024219OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1194066688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 CEDAR RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440263626",
            "telephone_number": "440-376-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 LANDERBROOK DR",
            "address_2": "SUITE 222",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441246532",
            "telephone_number": "216-752-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROCKTON",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-07",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-024219",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.