Active NPI
Meckler Dental Providers (South Plaza), Inc.
Doing business as DentalWorks of South Plaza
- General Practice Dentistry
- Akron, OH
National Provider Identifier
1275506966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MECKLER DENTAL PROVIDERS (SOUTH PLAZA), INC.
- Doing business as
- DentalWorks of South Plaza
- Practice address
- 378 E Waterloo Rd
Akron, OH 44319-1237 - Phone
- (330) 724-7401
- Fax
- (216) 584-1037
- NPI assigned
- Feb 11, 2006
- Last updated
- Feb 8, 2018
- Organization subpart
- Yes
- Parent organization
- DENTALONE PARTNERS, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Nittinger
- Title
- Manager Credentialing
- Phone
- (972) 755-0816
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | ||
| Endodontics | 1223E0200X | NU | ||
| General Practice Dentistry | 1223G0001X | 30.017994 | OH | |
| General Practice Dentistry | 1223G0001X | NU | Primary | |
| Pediatric Dentistry | 1223P0221X | NU | ||
| Periodontics | 1223P0300X | NU | ||
| Prosthodontics | 1223P0700X | NU | ||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NU | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | NU |
Addresses
Primary practice location
378 E Waterloo Rd
Akron, OH 44319-1237
Mailing address
7160 Dallas Pkwy Ste 400
Plano, TX 75024-7111
Other names 1
- DentalWorks of South Plaza
National Provider Directory
National Provider DirectoryLocations
378 E Waterloo Rd
Akron, OH 44319
Phone (330) 724-7401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Akron, OH
- NPI 1922278068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518048000000",
"number": "1275506966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7160 DALLAS PKWY STE 400",
"city": "PLANO",
"state": "TX",
"postal_code": "750247111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "378 E WATERLOO RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443191237",
"telephone_number": "330-724-7401",
"fax_number": "216-584-1037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MECKLER DENTAL PROVIDERS (SOUTH PLAZA), INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DENTALONE PARTNERS, INC",
"enumeration_date": "2006-02-11",
"last_updated": "2018-02-08",
"status": "A",
"authorized_official_last_name": "NITTINGER",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "MANAGER CREDENTIALING",
"authorized_official_telephone_number": "972-755-0816"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.017994",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DentalWorks of South Plaza",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.