Active NPI
Eric Yoskovich, DDS, MS
- Pediatric Dentistry
- Fairlawn, OH
National Provider Identifier
1407347958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30.026030
- Practice address
- 3523 Commercial Dr
Fairlawn, OH 44333-5107 - Phone
- (330) 668-9977
- NPI assigned
- May 21, 2018
- Last updated
- Mar 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180702002540 | OH | Order and Referring Only - Dentist | 2769738921 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.026030 | OH | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raj Vij DDS Inc | Past | Accepting new patients |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.