Individual provider Active NPI

Fred Nevar Jr., DDS

  • Dentist
  • Euclid, OH
National Provider Identifier
1336244268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15251 Issued in OH
Practice address
26300 Euclid Ave
#510
Euclid, OH 44132
Phone
(216) 731-5600
Fax
(216) 731-5637
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15251 OH Primary

Addresses

Primary practice location

26300 Euclid Ave
#510
Euclid, OH 44132

Mailing address

12320 Wedgefield LN
Chesterland, OH 44026
Phone (440) 729-2717

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
15251OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevar & Nevar DDS Inc Dentist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336244268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 WEDGEFIELD LN",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "44026",
            "telephone_number": "440-729-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 EUCLID AVE",
            "address_2": "#510",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "44132",
            "telephone_number": "216-731-5600",
            "fax_number": "216-731-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVAR",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "15251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.