NPIMap

Organization Active NPI

M Alexandrunas D Hudoba Dental 1 Inc

Doing business as Premier Dental of Austintown

  • Dental Clinic/Center
  • Austintown, OH
National Provider Identifier
1407449812
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
M ALEXANDRUNAS D HUDOBA DENTAL 1 INC
Doing business as
Premier Dental of Austintown
Practice address
5669 Mahoning Ave Ste a
Austintown, OH 44515-2339
Phone
(330) 792-2749
NPI assigned
Feb 17, 2021
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
M ALEXANDRUNAS D HUDOBA DENTAL 1 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Mark R. Alexandrunas, DMD
Title
Owner
Phone
(740) 587-4891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

5669 Mahoning Ave Ste a
Austintown, OH 44515-2339

Mailing address

5669 Mahoning Ave Ste a
Austintown, OH 44515-2339

Other names 1

  • Premier Dental of Austintown Doing business as

National Provider Directory

National Provider Directory
Tax ID family
M Alexandrunas D Hudoba Dental 1 Inc12 organizations share this tax ID, including this one
Part of
M Alexandrunas D Hudoba Dental 1 Inc

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5669 Mahoning Ave
Ste A
Youngstown, OH 44515
Phone (330) 792-2749

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1407449812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 MAHONING AVE STE A",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5669 MAHONING AVE STE A",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152339",
            "telephone_number": "330-792-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M ALEXANDRUNAS D HUDOBA DENTAL 1 INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M ALEXANDRUNAS D HUDOBA DENTAL 1 INC",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRUNAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-587-4891",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental of Austintown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.