Patrick James Sovacool, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30.023948 Issued in OH

Practice address

147 E Aurora Rd
Northfield, OH 44067-2084

Phone

(330) 467-6466

NPI assigned

May 7, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Philip J. Znidarsic DDS, LLC

  dba Nordonia Dental Group

  • General Practice Dentistry
  • Northfield, OH
  • NPI 1871005603
  NPD

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1235574062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 E AURORA RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672084",
            "telephone_number": "330-467-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 E AURORA RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672084",
            "telephone_number": "330-467-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVACOOL",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randolph Smith
• Sunshine Smith, LMT, CPT
• Social Assist LLC
• Weston Kay Sokol
• Yana Soroka
• Anna Stankiewicz
• Clare Stankiewicz
• Joy Stankowski, M.D.
• State of Ohio Office of Budget & Management State Accounting
• State of Ohio Office of Budget and Management State Accounting (Northcoast Behavioral Healthcare, Northfield Campus)

• Dentist in Northfield, OH
• Providers in Northfield, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.