Individual provider Active NPI

Jeffrey Stephen Sobecks, DDS

  • Dentist
  • Parma Heights, OH
National Provider Identifier
1295944296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20614 Issued in OH
Practice address
6325 York Rd Ste 302
Parma Heights, OH 44130-3030
Phone
(440) 888-5591
Fax
(440) 888-5019
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20614 OH Primary

Addresses

Primary practice location

6325 York Rd Ste 302
Parma Heights, OH 44130-3030

Mailing address

6325 York Rd Ste 302
Parma Heights, OH 44130-3030
Phone (440) 888-5591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20614OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295944296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 YORK RD STE 302",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303030",
            "telephone_number": "440-888-5591",
            "fax_number": "440-888-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 YORK RD STE 302",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303030",
            "telephone_number": "440-888-5591",
            "fax_number": "440-888-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBECKS",
        "first_name": "JEFFREY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "20614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.