Scott Kalniz Dental Partners II Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SCOTT KALNIZ DENTAL PARTNERS II PROFESSIONAL CORPORATION

Doing business as

EDP of Ohio II PC

Practice address

2962 State Route 39
Millersburg, OH 44654-8852

Phone

(330) 893-3363

NPI assigned

Mar 5, 2018

Last updated

Sep 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roseanne Brunenkant

Title

Director of Integrations

Phone

(312) 937-3619

Specialties & licenses 1

Addresses

Other names 1

• EDP of Ohio II PC Doing business as

Locations

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.

• Matthew Bernard Shaughnessy, D.M.D.

  • General Practice Dentistry
  • Millersburg, OH
  • NPI 1235510967
  NPD (past)

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1295237444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W JACKSON BLVD STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043048",
            "telephone_number": "312-993-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2962 STATE ROUTE 39",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548852",
            "telephone_number": "330-893-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT KALNIZ DENTAL PARTNERS II PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "BRUNENKANT",
        "authorized_official_first_name": "ROSEANNE",
        "authorized_official_title_or_position": "DIRECTOR OF INTEGRATIONS",
        "authorized_official_telephone_number": "312-937-3619"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDP of Ohio II PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sacred Ground
• Saltillo Corporation
• Scenic Pointe LLC
• Avi Schiowitz, DO
• Eric W Schmidt, DC
• Robert Russell Sears, O.D.
• Michele G Settle, LPN
• Matthew Bernard Shaughnessy, D.M.D.
• Ibrahim Sozen, MD
• Jordan Mitchell Chase Spector

• Dental Clinic/Center in Millersburg, OH
• Providers in Millersburg, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.