Organization Active NPI

Hospital Dental Associates Inc

  • Dentist
  • Boardman, OH
National Provider Identifier
1417094475
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17005 Issued in OH
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.