NPIMap

Organization Active NPI

Kenneth M Sirocky DDS Inc

  • Dentist
  • Strongsville, OH
National Provider Identifier
1306050794
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30015213 Issued in OH
Legal business name
KENNETH M SIROCKY DDS INC
Practice address
16360 Pearl Road
Strongsville, OH 44136
Phone
(440) 238-2298
Fax
(440) 846-4700
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kenneth M Sirocky, DDS INCNPI 1194939587
Title
General Dentist Owner of Practice
Phone
(440) 238-2298

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 30015213 OH Primary

Addresses

Primary practice location

16360 Pearl Road
Strongsville, OH 44136

Mailing address

16360 Pearl Road
Strongsville, OH 44136
Phone (440) 238-2298

National Provider Directory

National Provider Directory

Locations

16360 Pearl Rd
Strongsville, OH 44136
Phone (440) 238-2298

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306050794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16360 PEARL ROAD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "44136",
            "telephone_number": "440-238-2298",
            "fax_number": "440-846-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16360 PEARL ROAD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "44136",
            "telephone_number": "440-238-2298",
            "fax_number": "440-846-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M SIROCKY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIROCKY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL DENTIST OWNER OF PRACTICE",
        "authorized_official_telephone_number": "440-238-2298",
        "authorized_official_credential": "DDS INC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30015213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.