NPIMap

Organization Active NPI

Kidsmile, Inc. - John M. Venzel, D.M.D.

  • Pediatric Dentistry
  • Avon, OH
National Provider Identifier
1447226998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30.017951 Issued in OH
Legal business name
KIDSMILE, INC. - JOHN M. VENZEL, D.M.D.
Practice address
37701 Colorado Ave
Suite E
Avon, OH 44011-2840
Phone
(440) 934-2600
Fax
(440) 934-2602
NPI assigned
Feb 24, 2006
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
John Matthew Venzel, D.M.D.NPI 1598931610
Title
Member
Phone
(440) 934-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 30.017951 OH Primary

Addresses

Primary practice location

37701 Colorado Ave
Suite E
Avon, OH 44011-2840

Mailing address

37701 Colorado Ave
Suite E
Avon, OH 44011-2840
Phone (440) 934-2600

Other identifiers 3

IdentifierTypeStateIssuer
0603716MedicaidOH
774120OtherOHUNITED CONCORDIA PROVIDER
603882OtherOHCOMPBENEFITS PROVIDER ID

National Provider Directory

National Provider Directory

Locations

37701 Colorado Ave
Ste E
Avon, OH 44011
Phone (440) 934-2600

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447226998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37701 COLORADO AVE",
            "address_2": "SUITE E",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112840",
            "telephone_number": "440-934-2600",
            "fax_number": "440-934-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37701 COLORADO AVE",
            "address_2": "SUITE E",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112840",
            "telephone_number": "440-934-2600",
            "fax_number": "440-934-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSMILE, INC. - JOHN M. VENZEL, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VENZEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "440-934-2600",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.017951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0603716",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "774120",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPBENEFITS PROVIDER ID",
            "identifier": "603882",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, 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.