Individual provider Active NPI

Melissa J. Severino-Hoza, D.D.S.

  • General Practice Dentistry
  • Ashtabula, OH
National Provider Identifier
1316917016
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21574 Issued in OH
Practice address
2010 W 19TH St
Ashtabula, OH 44004-9709
Phone
(440) 992-2700
Fax
(440) 964-0542
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21574 OH Primary

Addresses

Primary practice location

2010 W 19TH St
Ashtabula, OH 44004-9709

Mailing address

2010 W 19TH St
Ashtabula, OH 44004-9709
Phone (440) 992-2700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160210000777 OH Order and Referring Only - DentistPractitioner - Dentist 6507892387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21574OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
CD Ohio Derrick Kruger DDS, Inc. General Practice PastSince Mar 31, 2024 Accepting new patients
DRS Crombie Balogh-Crombie & Hoza Inc General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316917016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W 19TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049709",
            "telephone_number": "440-992-2700",
            "fax_number": "440-964-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W 19TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049709",
            "telephone_number": "440-992-2700",
            "fax_number": "440-964-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERINO-HOZA",
        "first_name": "MELISSA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

Verify at the official NPI Registry.