Individual provider Active NPI

Sonja Ann Jarmoszuk, D.D.S.

  • Pediatric Dentistry
  • Lorain, OH
National Provider Identifier
1336113570
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30021540 Issued in OH
Practice address
1800 Livingston Ave
Lorain, OH 44052-3781
Phone
(440) 233-0100
Fax
(440) 233-0109
NPI assigned
Feb 15, 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
Pediatric Dentistry 1223P0221X 30021540 OH Primary

Addresses

Primary practice location

1800 Livingston Ave
Lorain, OH 44052-3781

Mailing address

21261 Maplewood Ave
Rocky River, OH 44116-1243
Phone (440) 333-8053

Other identifiers 1

IdentifierTypeStateIssuer
2470464MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30021540OHMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336113570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21261 MAPLEWOOD AVE",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161243",
            "telephone_number": "440-333-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LIVINGSTON AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523781",
            "telephone_number": "440-233-0100",
            "fax_number": "440-233-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARMOSZUK",
        "first_name": "SONJA",
        "middle_name": "ANN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30021540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2470464",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.