Individual provider Active NPI

Steven D Fitz

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1336249408
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18090 Issued in OH
Practice address
4827 State Rd
Cleveland, OH 44109-5542
Phone
(216) 741-1067
Fax
(216) 741-6591
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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 18090 OH Primary

Addresses

Primary practice location

4827 State Rd
Cleveland, OH 44109-5542

Mailing address

4827 State Rd
Cleveland, OH 44109-5542
Phone (216) 741-1067

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
18090OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jin Choi DMD LLC PastSince Apr 14, 2024 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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1336249408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4827 STATE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441095542",
            "telephone_number": "216-741-1067",
            "fax_number": "216-741-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4827 STATE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441095542",
            "telephone_number": "216-741-1067",
            "fax_number": "216-741-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZ",
        "first_name": "STEVEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.