Newark Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

018862 Issued in OH

Legal business name

NEWARK FAMILY DENTISTRY

Practice address

136 W Main St
Newark, OH 43055-5008

Phone

(740) 349-3033

Fax

(740) 349-7675

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole R Hilleary

Title

Office Manager

Phone

(740) 349-3099

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

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.

• Marc J Lewis, D.D.S.

  • General Practice Dentistry
  • Newark, OH
  • NPI 1932212446
  NPD (past)
• Richard A Ruff, D.D.S.

  • General Practice Dentistry
  • Newark, OH
  • NPI 1861505349
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467671172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555008",
            "telephone_number": "740-349-3033",
            "fax_number": "740-349-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555008",
            "telephone_number": "740-349-3033",
            "fax_number": "740-349-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILLEARY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-349-3099"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "018862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0710627",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2237832",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2373551",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0713526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Newark Anesthesia Inc
• Newark Care Center LLC (Price Road Health and Rehabilitation Center)
• Newark City Health Departmen
• Newark City Schools
• Newark Dental Group, LLC
• Newark Family Eye Care LLC
• Newark Health Imaging
• Newark Intergraded Healthcare LLC
• Newark Leasing, LLC (Newark Care and Rehabilitationi)
• Newark NH LLC (Newark Hills Health and Rehabilitation Center)

• General Practice Dentistry in Newark, OH
• Providers in Newark, OH by specialty
• General Practice Dentistry in Ohio

• 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.