Individual provider Active NPI

Anthony Huron, D.M.D.

  • Dentist
  • Parma, OH
National Provider Identifier
1316324882
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.24771 Issued in OH
Practice address
5998 State Rd
Parma, OH 44134-2867
Phone
(440) 884-0640
NPI assigned
May 4, 2015
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.24771 OH Primary

Addresses

Primary practice location

5998 State Rd
Parma, OH 44134-2867

Mailing address

5998 State Rd
Parma, OH 44134-2867
Phone (440) 884-0640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20160405002118 CT Order and Referring Only - DentistPractitioner - Dentist 5193023281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.24771OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Huron DMD LLC Dentist Current Accepting new patients

Locations

5998 State Rd
Parma, OH 44134
Phone (440) 884-0640

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1316324882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5998 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342867",
            "telephone_number": "440-884-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5998 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342867",
            "telephone_number": "440-884-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURON",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-04",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.24771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.