Active NPI
Frank F Omerza, D.D.S., PH.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Canton, OH
National Provider Identifier
1407919129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 30018817
- Practice address
- 4122 Whipple Ave Northwest
Canton, OH 44718 - Phone
- (330) 492-7920
- NPI assigned
- Dec 18, 2006
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 30018817 | OH | Primary |
Addresses
Primary practice location
4122 Whipple Ave Northwest
Canton, OH 44718
Mailing address
38305 Dodds Hill Dr
Willoughby Hills, OH 44094-6967
Phone (440) 946-6934
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 |
|---|---|---|---|---|
| I20160713001266 | OH | Order and Referring Only - Dentist | 0941592893 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30018817 | OH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1407919129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38305 DODDS HILL DR",
"city": "WILLOUGHBY HILLS",
"state": "OH",
"postal_code": "440946967",
"telephone_number": "440-946-6934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4122 WHIPPLE AVE NORTHWEST",
"city": "CANTON",
"state": "OH",
"postal_code": "44718",
"telephone_number": "330-492-7920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMERZA",
"first_name": "FRANK",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.D.S., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OH",
"license": "30018817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.