Active NPI
Robert Joseph Demboski, DDS
- General Practice Dentistry
- Akron, OH
National Provider Identifier
1538252002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Practice address
- 525 North Cleveland-Massillon Road
Suite 105
Akron, OH 44333-3332 - Phone
- (330) 666-6111
- Fax
- (330) 666-6161
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | OH | Primary |
Addresses
Primary practice location
525 North Cleveland-Massillon Road
Suite 105
Akron, OH 44333-3332
Mailing address
2671 Foxwood Drive
Akron, OH 44333
Phone (330) 865-7701
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
| License | State | Type | Specialty |
|---|---|---|---|
| 300221746 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538252002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2671 FOXWOOD DRIVE",
"city": "AKRON",
"state": "OH",
"postal_code": "44333",
"telephone_number": "330-865-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 NORTH CLEVELAND-MASSILLON ROAD",
"address_2": "SUITE 105",
"city": "AKRON",
"state": "OH",
"postal_code": "443333332",
"telephone_number": "330-666-6111",
"fax_number": "330-666-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMBOSKI",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.