Active NPI
Lehky State Dental Providers, LLC
- Public Health Dentistry
- Fairlawn, OH
National Provider Identifier
1356066062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- Legal business name
- LEHKY STATE DENTAL PROVIDERS, LLC
- Practice address
- 2820 W Market St Ste 100
Fairlawn, OH 44333-4061 - Phone
- (330) 864-3331
- NPI assigned
- Oct 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany R Creek, CDA
- Title
- Director
- Phone
- (330) 224-9528
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
2820 W Market St Ste 100
Fairlawn, OH 44333-4061
Mailing address
2820 W Market St Ste 100
Fairlawn, OH 44333-4061
Phone (330) 864-3331
Other practice location 1
220 Windsor Dr
Cortland, OH 44410-2703
Phone (330) 864-3331
Other practice location 2
210 Windsor Dr
Cortland, OH 44410-2703
Phone (330) 864-3331
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | website | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
220 Windsor Dr
Cortland, OH 44410
Phone (330) 637-3909
210 Windsor Dr
Cortland, OH 44410
Phone (330) 638-7004
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fairlawn, OH
- NPI 1932328853
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cortland, OH
- NPI 1871712703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664928000000",
"number": "1356066062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 W MARKET ST STE 100",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443334061",
"telephone_number": "330-864-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 W MARKET ST STE 100",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443334061",
"telephone_number": "330-864-3331"
}
],
"practiceLocations": [
{
"address_1": "220 Windsor Dr",
"address_purpose": "LOCATION",
"city": "Cortland",
"state": "OH",
"postal_code": "444102703",
"country_code": "US",
"telephone_number": "330-864-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 Windsor Dr",
"address_purpose": "LOCATION",
"city": "Cortland",
"state": "OH",
"postal_code": "444102703",
"country_code": "US",
"telephone_number": "330-864-3331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LEHKY STATE DENTAL PROVIDERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A",
"authorized_official_last_name": "CREEK",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "330-224-9528",
"authorized_official_credential": "CDA"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Dental Public Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "website",
"affiliation": "N",
"endpointDescription": "encrypted patient portal",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2820 W Market St Ste 100",
"city": "Fairlawn",
"state": "OH",
"country_code": "US",
"postal_code": "443334061",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.