Individual provider Active NPI

John Edwar Duda, D.D.S.

  • General Practice Dentistry
  • Rocky River, OH
National Provider Identifier
1386681856
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15422 Issued in OH
Practice address
21851 Center Ridge Rd
Suite 311
Rocky River, OH 44116-3976
Phone
(440) 333-9532
Fax
(440) 333-9533
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 15422 OH Primary

Addresses

Primary practice location

21851 Center Ridge Rd
Suite 311
Rocky River, OH 44116-3976

Mailing address

21851 Center Ridge Rd
Suite 311
Rocky River, OH 44116-3976
Phone (440) 333-9532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505001321 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446559868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15422OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386681856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21851 CENTER RIDGE RD",
            "address_2": "SUITE 311",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163976",
            "telephone_number": "440-333-9532",
            "fax_number": "440-333-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21851 CENTER RIDGE RD",
            "address_2": "SUITE 311",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163976",
            "telephone_number": "440-333-9532",
            "fax_number": "440-333-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDA",
        "first_name": "JOHN",
        "middle_name": "EDWAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.