Active NPI
Andrew J Deak, M.D., D.M.D
- Dentist
- Northfield, OH
National Provider Identifier
1447435870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.022513
- Practice address
- 9365 Olde 8 Rd
Northfield, OH 44067-2052 - Phone
- (330) 467-6066
- NPI assigned
- Jan 3, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Elyria, OH
- NPI 1841771722
-
- Dentist
- Northfield, OH
- NPI 1790998813
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160517002181 | OH | Order and Referring Only - Dentist | 5193014934 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William C Deak DDS and Karen Kramer DDS, Inc | Dentist | Past | Accepting new patients |
| William R. Davidson, D.D.S.& Assoc., Inc. | Dentist | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.022513 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9365 Olde 8 Rd
Northfield, OH 44067-2052
Mailing address
1212 Abbe Rd N
Ste D
Elyria, OH 44035-1600
Phone (440) 366-3325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2016.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1447435870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 ABBE RD N",
"address_2": "STE D",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440351600",
"telephone_number": "440-366-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9365 OLDE 8 RD",
"city": "NORTHFIELD",
"state": "OH",
"postal_code": "440672052",
"telephone_number": "330-467-6066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAK",
"first_name": "ANDREW",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D., D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-03",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.022513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.