Individual provider Active NPI

Candice Lee Fehring, D.D.S

  • General Practice Dentistry
  • North Olmsted, OH
National Provider Identifier
1376864702
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2914 Issued in OH
Practice address
24834 Lorain Rd
North Olmsted
North Olmsted, OH 44070-2048
Phone
(440) 925-5255
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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 2914 OH Primary

Addresses

Primary practice location

24834 Lorain Rd
North Olmsted
North Olmsted, OH 44070-2048

Mailing address

24834 Lorain Rd
North Olmsted
North Olmsted, OH 44070-2048
Phone (440) 925-5255

Other names 1

  • Dr. Candice Lee Balogh Former name

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
2914OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Dental Alliance, LLC Past Accepting new patients
Aurasmile Dental North Olmsted Inc. LLC Past Accepting new patients

Organizations & group practices 2

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1376864702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24834 LORAIN RD",
            "address_2": "NORTH OLMSTED",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702048",
            "telephone_number": "440-925-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24834 LORAIN RD",
            "address_2": "NORTH OLMSTED",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702048",
            "telephone_number": "440-925-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHRING",
        "first_name": "CANDICE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "2914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "BALOGH",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.