NPIMap

Organization Active NPI

Hudec Dental Center of Canton, Inc.

  • General Practice Dentistry
  • Canton, OH
National Provider Identifier
1295033074
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-015265 Issued in OH
Legal business name
HUDEC DENTAL CENTER OF CANTON, INC.
Practice address
4400 Belden Village St NW
Canton, OH 44718-2516
Phone
(330) 493-0947
Fax
(234) 521-7003
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Dr. John A Hudec, D.D.S.NPI 1295754240
Title
Owner/President
Phone
(216) 485-5788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30-015265 OH Primary

Addresses

Primary practice location

4400 Belden Village St NW
Canton, OH 44718-2516

Mailing address

3327 Broadview Rd
Cleveland, OH 44109-3360
Phone (216) 485-5788

Other identifiers 1

IdentifierTypeStateIssuer
3126021MedicaidOH

Other names 1

  • Hudec Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4400 Belden Village St NW
Canton, OH 44718
Phone (330) 493-0947

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1295033074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093360",
            "telephone_number": "216-485-5788",
            "fax_number": "216-485-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BELDEN VILLAGE ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182516",
            "telephone_number": "330-493-0947",
            "fax_number": "234-521-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDEC DENTAL CENTER OF CANTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "HUDEC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "216-485-5788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-015265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126021",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudec Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.