Individual provider Active NPI

Andrew J Deak, M.D., D.M.D

  • Dentist
  • Northfield, OH
National Provider Identifier
1447435870
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.022513 Issued in OH
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.

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20160517002181 OH Order and Referring Only - DentistPractitioner - Dentist 5193014934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
Dentist 122300000X 30.022513 OH Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.