Organization Active NPI

Kathryn M. Shroyer, D.D.S., M.S., LLC

  • Prosthodontics
  • Westlake, OH
National Provider Identifier
1396068367
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
21998 Issued in OH
Legal business name
KATHRYN M. SHROYER, D.D.S., M.S., LLC
Practice address
25101 Detroit Road
Suite 410 Westlawn Square
Westlake, OH 44145
Phone
(440) 835-4848
Fax
(440) 835-4008
NPI assigned
Mar 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Dr. Kathryn M Shroyer, D.D.S., M.S.
Title
Owner/President
Phone
(440) 835-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 21998 OH Primary

Addresses

Primary practice location

25101 Detroit Road
Suite 410 Westlawn Square
Westlake, OH 44145

Mailing address

25101 Detroit Road
Suite 410 Westlawn Square
Westlake, OH 44145
Phone (440) 835-4848

National Provider Directory

National Provider Directory

Locations

25101 Detroit Rd
Ste 410
Westlake, OH 44145
Phone (440) 835-4222

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1396068367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25101 DETROIT ROAD",
            "address_2": "SUITE 410 WESTLAWN SQUARE",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "44145",
            "telephone_number": "440-835-4848",
            "fax_number": "440-835-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 DETROIT ROAD",
            "address_2": "SUITE 410 WESTLAWN SQUARE",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "44145",
            "telephone_number": "440-835-4848",
            "fax_number": "440-835-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN M. SHROYER, D.D.S., M.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "SHROYER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "440-835-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "21998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.