NPIMap

Organization Active NPI

DRS Crombie Balogh-Crombie & Hoza Inc

  • General Practice Dentistry
  • Ashtabula, OH
National Provider Identifier
1528047396
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18958 Issued in OH
Legal business name
DRS CROMBIE BALOGH-CROMBIE & HOZA INC
Practice address
2010 W 19TH St
Ashtabula, OH 44004-9709
Phone
(440) 992-2700
Fax
(440) 964-0542
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Dr. Martin B. Crombie, D.D.S.NPI 1205816659
Title
President
Phone
(440) 992-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 18958 OH Primary

Addresses

Primary practice location

2010 W 19TH St
Ashtabula, OH 44004-9709

Mailing address

2010 W 19TH St
Ashtabula, OH 44004-9709
Phone (440) 992-2700

Other identifiers 1

IdentifierTypeStateIssuer
000956041OtherOHUCCI (INSURANCE)

Other names 1

  • The Healthy Smile Center Doing business as

National Provider Directory

National Provider Directory

Locations

2010 W 19th St
Ashtabula, OH 44004
Phone (440) 992-2700

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1528047396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W 19TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049709",
            "telephone_number": "440-992-2700",
            "fax_number": "440-964-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W 19TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049709",
            "telephone_number": "440-992-2700",
            "fax_number": "440-964-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS CROMBIE BALOGH-CROMBIE & HOZA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "CROMBIE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-992-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI (INSURANCE)",
            "identifier": "000956041",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Healthy Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.