NPIMap

Organization Active NPI

Sylvania Orthodontics, Inc.

Doing business as Drs. Simon, Haerian & Ludwig

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sylvania, OH
National Provider Identifier
1306828215
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12970 Issued in OH
Legal business name
SYLVANIA ORTHODONTICS, INC.
Doing business as
Drs. Simon, Haerian & Ludwig
Practice address
6407 Monroe Street
Sylvania, OH 43560
Phone
(419) 882-1017
Fax
(419) 882-7571
NPI assigned
Nov 16, 2005
Last updated
Oct 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Dr. Andre H. Haerian, DDS, MS, FRCD, PHDNPI 1700905403
Title
President
Phone
(419) 882-1017

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 12970 OH Primary

Addresses

Primary practice location

6407 Monroe Street
Sylvania, OH 43560

Mailing address

6407 Monroe Street
Sylvania, OH 43560
Phone (419) 882-1017

Other identifiers 1

IdentifierTypeStateIssuer
12970OtherOHPROVIDER LICENSE #

Other names 1

  • Drs. Simon, Haerian & Ludwig Doing business as

National Provider Directory

National Provider Directory

Locations

6407 Monroe St
Sylvania, OH 43560
Phone (419) 882-1017

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1306828215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 MONROE STREET",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-882-1017",
            "fax_number": "419-882-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 MONROE STREET",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-882-1017",
            "fax_number": "419-882-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVANIA ORTHODONTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "HAERIAN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-882-1017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, FRCD, PHD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "12970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE #",
            "identifier": "12970",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Simon, Haerian & Ludwig",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.