Organization Active NPI

Westchester Dentistry, Inc.

  • Dentist
  • Akron, OH
National Provider Identifier
1427256411
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20624 Issued in OH
Legal business name
WESTCHESTER DENTISTRY, INC.
Practice address
1575 V. Odom Blvd
Akron, OH 44320
Phone
(330) 753-7734
Fax
(330) 753-5888
NPI assigned
Jul 11, 2007
Last updated
Oct 2, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTCHESTER DENTISTRY, INC. (DBA: AKRON FAMILY DENTAL CENTER)As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Jeffrey S. Rosenthal, D.D.S.
Title
Owner/Dentist
Phone
(330) 753-7734

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19135 OH
Dentist 122300000X 21832 OH
Dentist 122300000X 20624 OH Primary
General Practice Dentistry 1223G0001X 19135 OH

Addresses

Primary practice location

1575 V. Odom Blvd
Akron, OH 44320

Mailing address

1575 V. Odom Blvd
Akron, OH 44320
Phone (330) 753-7734

Other identifiers 1

IdentifierTypeStateIssuer
0525935MedicaidOH

Other names 1

  • Akron Family Dental Center Former legal business name

National Provider Directory

National Provider Directory
Part of
Westchester Dentistry Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1427256411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 V. ODOM BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44320",
            "telephone_number": "330-753-7734",
            "fax_number": "330-753-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 V. ODOM BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44320",
            "telephone_number": "330-753-7734",
            "fax_number": "330-753-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER DENTISTRY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTCHESTER DENTISTRY, INC. (DBA: AKRON FAMILY DENTAL CENTER)",
        "enumeration_date": "2007-07-11",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "330-753-7734",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19135",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "21832",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "20624",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0525935",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Akron Family Dental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.