Michael R Kaludy D.D.S., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

013693 Issued in OH

Legal business name

MICHAEL R KALUDY D.D.S., INC

Practice address

193 East Ave
Suite 202
Tallmadge, OH 44278-2341

Phone

(330) 633-0324

Fax

(330) 633-0546

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Elaine Beverly Kaludy

Title

Corp Secretary-Treasurer

Phone

(330) 633-0324

Specialties & licenses 1

Addresses

Other names 1

• CREATIVE SMILES Doing business as

Locations

Practitioners 1

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

• Michael Robert Kaludy, D.D.S.

  • General Practice Dentistry
  • Tallmadge, OH
  • NPI 1801017439
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487866489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 EAST AVE",
            "address_2": "SUITE 202",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782341",
            "telephone_number": "330-633-0324",
            "fax_number": "330-633-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 EAST AVE",
            "address_2": "SUITE 202",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782341",
            "telephone_number": "330-633-0324",
            "fax_number": "330-633-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R KALUDY D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALUDY",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "BEVERLY",
        "authorized_official_title_or_position": "CORP SECRETARY-TREASURER",
        "authorized_official_telephone_number": "330-633-0324",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "013693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREATIVE SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth McGough, OTR/L
• Emily McKenna
• James S McMillen, PT
• Mark Meyer, M.D.
• Sue E Meyer, M.D.
• Tiffany Michalec
• Miller Holdings Summit, Inc.
• Miller Holdings Summit, Inc.
• Amy Riedinger Miller, R PH
• Riley James Miller, APRN, FNP-C

• General Practice Dentistry in Tallmadge, OH
• Providers in Tallmadge, 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.