Active NPI
Hospital Dental Associates Inc
- Dentist
- Boardman, OH
National Provider Identifier
1417094475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17005
- Legal business name
- HOSPITAL DENTAL ASSOCIATES INC
- Practice address
- 721 Boardman Poland Rd
Boardman, OH 44512-5107 - Phone
- (330) 965-9344
- Fax
- (330) 965-9347
- NPI assigned
- Jan 31, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. M Frank Beck, DDS MAGD FAAHD
- Title
- Owner Doctor
- Phone
- (330) 965-9344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17005 | OH | Primary |
Addresses
Primary practice location
721 Boardman Poland Rd
Boardman, OH 44512-5107
Mailing address
721 Boardman Poland Rd
Suite 203
Boardman, OH 44512-5107
Phone (330) 965-9344
National Provider Directory
National Provider DirectoryLocations
721 Boardman Poland Rd
Ste 203
Boardman, OH 44512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417094475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 BOARDMAN POLAND RD",
"address_2": "SUITE 203",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125107",
"telephone_number": "330-965-9344",
"fax_number": "330-965-9347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 BOARDMAN POLAND RD",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125107",
"telephone_number": "330-965-9344",
"fax_number": "330-965-9347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL DENTAL ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BECK",
"authorized_official_first_name": "M",
"authorized_official_middle_name": "FRANK",
"authorized_official_title_or_position": "OWNER DOCTOR",
"authorized_official_telephone_number": "330-965-9344",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS MAGD FAAHD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "17005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.