Individual provider Active NPI

Dale A Kates, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cleveland HTS, OH
National Provider Identifier
1497976070
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19830 Issued in OH
Practice address
5 Severance Cir Ste 714
Cleveland HTS, OH 44118-1590
Phone
(216) 691-9944
Fax
(216) 691-9949
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 19830 OH Primary

Addresses

Primary practice location

5 Severance Cir Ste 714
Cleveland HTS, OH 44118-1590

Mailing address

5 Severance Cir Ste 714
Cleveland HTS, OH 44118-1590
Phone (216) 691-9944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19830OHMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kates Premier Smiles Orthodontics Inc. Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Dale a. Kates DDS Inc Orthodontics and Dentofacial Orthopedics Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1497976070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR STE 714",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181590",
            "telephone_number": "216-691-9944",
            "fax_number": "216-691-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR STE 714",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181590",
            "telephone_number": "216-691-9944",
            "fax_number": "216-691-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATES",
        "first_name": "DALE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "19830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.