Active NPI
Kathryn M. Shroyer, D.D.S., M.S.
- Prosthodontics
- North Olmsted, OH
National Provider Identifier
1386798429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 21998
- Practice address
- 26777 Lorain Rd
Suite 510
North Olmsted, OH 44070-3200 - Phone
- (440) 734-4748
- Fax
- (440) 734-1433
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 21998 | OH | Primary |
Addresses
Primary practice location
26777 Lorain Rd
Suite 510
North Olmsted, OH 44070-3200
Mailing address
26777 Lorain Rd
Suite 510
North Olmsted, OH 44070-3200
Phone (440) 734-4748
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21998 | OH | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386798429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26777 LORAIN RD",
"address_2": "SUITE 510",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440703200",
"telephone_number": "440-734-4748",
"fax_number": "440-734-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26777 LORAIN RD",
"address_2": "SUITE 510",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440703200",
"telephone_number": "440-734-4748",
"fax_number": "440-734-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHROYER",
"first_name": "KATHRYN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "OH",
"license": "21998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.