Individual provider Active NPI

Daniela Stuetzer, DDS

  • General Practice Dentistry
  • Mayfield Heights, OH
National Provider Identifier
1275975666
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-024545 Issued in OH
Practice address
5825 Landerbrook Dr
#122
Mayfield Heights, OH 44124-6532
Phone
(440) 461-0327
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-024545 OH Primary

Addresses

Primary practice location

5825 Landerbrook Dr
#122
Mayfield Heights, OH 44124-6532

Mailing address

5825 Landerbrook Dr
#122
Mayfield Heights, OH 44124-6532
Phone (440) 461-0327

Other names 1

  • Daniela Canache Former name

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
I20151201001265 OH Order and Referring Only - DentistPractitioner - Dentist 1557661360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-024545OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1275975666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 LANDERBROOK DR",
            "address_2": "#122",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246532",
            "telephone_number": "440-461-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 LANDERBROOK DR",
            "address_2": "#122",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246532",
            "telephone_number": "440-461-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUETZER",
        "first_name": "DANIELA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-024545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELA",
            "last_name": "CANACHE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mayfield Heights, OH

Sources for this page

Verify at the official NPI Registry.