Individual provider Active NPI

John Christopher Carlozzi, DDS

  • General Practice Dentistry
  • Lyndhurst, OH
National Provider Identifier
1548464316
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20502 Issued in OH
Practice address
5001 Mayfield Rd
Suite 305
Lyndhurst, OH 44124-2602
Phone
(216) 382-8858
Fax
(216) 382-8859
NPI assigned
Jun 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20502 OH Primary

Addresses

Primary practice location

5001 Mayfield Rd
Suite 305
Lyndhurst, OH 44124-2602

Mailing address

5001 Mayfield Rd
Suite 305
Lyndhurst, OH 44124-2602
Phone (216) 382-8858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627002674 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7618268350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20502OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548464316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 MAYFIELD RD",
            "address_2": "SUITE 305",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242602",
            "telephone_number": "216-382-8858",
            "fax_number": "216-382-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 MAYFIELD RD",
            "address_2": "SUITE 305",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242602",
            "telephone_number": "216-382-8858",
            "fax_number": "216-382-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOZZI",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

Verify at the official NPI Registry.