Organization Active NPI

Ocean Dental of Ohio, P.C.

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1538383732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OCEAN DENTAL OF OHIO, P.C.
Practice address
3545 Ridge Rd Unit 2
Cleveland, OH 44102-5443
Phone
(216) 961-6860
Fax
(216) 961-7959
NPI assigned
Apr 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chad B. Hoecker, DDS
Title
Owner
Phone
(405) 707-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

3545 Ridge Rd Unit 2
Cleveland, OH 44102-5443

Mailing address

206 W 6TH Ave
Stillwater, OK 74074-4017
Phone (405) 707-0600

Other identifiers 2

IdentifierTypeStateIssuer
2672068MedicaidOH
111927OtherOHDORAL PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Ocean Dental of Ohio PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3545 Ridge Rd
Ste 2
Cleveland, OH 44102
Phone (216) 961-6860

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538383732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744017",
            "telephone_number": "405-707-0600",
            "fax_number": "405-707-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 RIDGE RD UNIT 2",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-961-6860",
            "fax_number": "216-961-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN DENTAL OF OHIO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOECKER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-707-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2672068",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL PROVIDER NUMBER",
            "identifier": "111927",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • 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.