Organization Active NPI

Penturf Dentistry, LLC

  • General Practice Dentistry
  • Alliance, OH
National Provider Identifier
1245509330
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PENTURF DENTISTRY, LLC
Practice address
800 S Sawburg Ave
Alliance, OH 44601-2715
Phone
(330) 821-7244
Fax
(330) 821-7533
NPI assigned
Dec 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Barry Penturf
Title
Dentist
Phone
(330) 821-7244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

800 S Sawburg Ave
Alliance, OH 44601-2715

Mailing address

800 S Sawburg Ave
Alliance, OH 44601-2715

Other identifiers 1

IdentifierTypeStateIssuer
0387915MedicaidOH

National Provider Directory

National Provider Directory

Locations

800 S Sawburg Ave
Alliance, OH 44601
Phone (330) 821-7244

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1245509330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S SAWBURG AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446012715",
            "fax_number": "330-821-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S SAWBURG AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446012715",
            "telephone_number": "330-821-7244",
            "fax_number": "330-821-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTURF DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "PENTURF",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "330-821-7244"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0387915",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.