Active NPI
Thomas J Drockton, D.D.S.
- Dentist
- Mayfield HTS, OH
National Provider Identifier
1194066688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30-024219
- 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, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30-024219 | OH | MD | Dentist |
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.