Active NPI
Ted I Schechter, D.D.S.
- Dentist
- Lyndhurst, OH
National Provider Identifier
1396865903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15209
- Practice address
- 5031 Mayfield Rd Ste 105
Lyndhurst, OH 44124-2606 - Phone
- (216) 382-3040
- Fax
- (216) 382-3038
- NPI assigned
- Mar 29, 2007
- Last updated
- Feb 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 15209 | OH | Primary |
Addresses
Primary practice location
5031 Mayfield Rd Ste 105
Lyndhurst, OH 44124-2606
Mailing address
5031 Mayfield Rd Ste 105
Lyndhurst, OH 44124-2606
Phone (216) 382-3040
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15209 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1396865903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5031 MAYFIELD RD STE 105",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441242606",
"telephone_number": "216-382-3040",
"fax_number": "216-382-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5031 MAYFIELD RD STE 105",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441242606",
"telephone_number": "216-382-3040",
"fax_number": "216-382-3038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHECHTER",
"first_name": "TED",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "15209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyndhurst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.