Individual provider Active NPI

Isaac Elias Cueto, DDS

  • Dentist
  • Wooster, OH
National Provider Identifier
1225291446
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-023032 Issued in OH
Practice address
2300 Gateway Dr
Wooster, OH 44691-5334
Phone
(330) 262-1121
Fax
(330) 264-3711
NPI assigned
Jul 8, 2008
Last updated
Sep 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-023032 OH Primary

Addresses

Primary practice location

2300 Gateway Dr
Wooster, OH 44691-5334

Mailing address

2300 Gateway Dr
Wooster, OH 44691-5334
Phone (330) 262-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311001561 OH Order and Referring Only - DentistPractitioner - Dentist 6406152750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-023032OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert S. Salmans,DDS,Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1225291446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GATEWAY DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915334",
            "telephone_number": "330-262-1121",
            "fax_number": "330-264-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GATEWAY DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915334",
            "telephone_number": "330-262-1121",
            "fax_number": "330-264-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUETO",
        "first_name": "ISAAC",
        "middle_name": "ELIAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-023032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.