Edward A Hadaway, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

14670 Issued in OH

Practice address

17117 Detroit Ave.
Lakewood, OH 44107

Phone

(216) 221-3368

Fax

(216) 221-3371

NPI assigned

Dec 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lakewood Dental Arts-Edward a Hadaway DDS& Denver D Jenkins Jr DDS LLC

  • Dentist
  • Lakewood, OH
  • NPI 1134294150
  NPD (past) Authorized official

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1356587430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17117 DETROIT AVE.",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "44107",
            "telephone_number": "216-221-3368",
            "fax_number": "216-221-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17117 DETROIT AVE.",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "44107",
            "telephone_number": "216-221-3368",
            "fax_number": "216-221-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADAWAY",
        "first_name": "EDWARD",
        "middle_name": "A",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "14670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Gulgas, PHARMD
• Elizabeth Ann Gulliford, PEER SPECIALIST
• Sharon Guzik
• Joseph M Guzzi, HAS
• Steven Haberley, LPN
• Madelaine Michele Haddican, MD
• Erinn Hagan, LPCC
• Michelle Hisako Haldeman, D.P.M.
• Jonathan Hale
• Christopher B Hall, CPS-A

• Dentist in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.