Individual provider Active NPI

Eric Yoskovich, DDS, MS

  • Pediatric Dentistry
  • Fairlawn, OH
National Provider Identifier
1407347958
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30.026030 Issued in OH
Practice address
3523 Commercial Dr
Fairlawn, OH 44333-5107
Phone
(330) 668-9977
NPI assigned
May 21, 2018
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30.026030 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X RES.003950 OH

Addresses

Primary practice location

3523 Commercial Dr
Fairlawn, OH 44333-5107

Mailing address

2550 Detroit Ave Apt 458
Cleveland, OH 44113-2776
Phone (586) 822-7975

Other practice location 1

3000 Arlington Ave
Toledo, OH 43614-2598
Phone (586) 822-7975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180702002540 OH Order and Referring Only - DentistPractitioner - Dentist 2769738921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30.026030OHMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Raj Vij DDS Inc PastSince Mar 20, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eyoskovich96893@ehrdirect.uhhospitals.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1407347958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 DETROIT AVE APT 458",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132776",
            "telephone_number": "586-822-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 COMMERCIAL DR",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443335107",
            "telephone_number": "330-668-9977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142598",
            "country_code": "US",
            "telephone_number": "586-822-7975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOSKOVICH",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.026030",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "RES.003950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.