Louis Malcmacher, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16769 Issued in OH

Practice address

27239 Wolf Rd
Bay Village, OH 44140-2020

Phone

(440) 892-1810

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C.Malcmacher

  • PACE Provider Organization
  • Bay Village, OH
  • NPI 1942591805
  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1306868609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 S GREEN RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213349",
            "telephone_number": "800-952-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27239 WOLF RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402020",
            "telephone_number": "440-892-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCMACHER",
        "first_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherin Leitch
• Abigail Joy Licht
• Emilee Lindahl
• Caitlyn Elizabeth Lorenzo, DDS
• James L Mack, PH.D.
• Donna Maria Mazzarella, R.N.
• Maeve Bridget McAndrews
• Maggie McAndrews
• Christina Merrell
• Caleb Joel Mick, PMHNP-BC

• General Practice Dentistry in Bay Village, OH
• Providers in Bay Village, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.