Organization Active NPI

William L Medved DDS Family Dentistry,Inc

  • Dental Clinic/Center
  • Lancaster, OH
National Provider Identifier
1568083392
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WILLIAM L MEDVED DDS FAMILY DENTISTRY,INC
Practice address
330 N Broad St
Lancaster, OH 43130-3003
Phone
(740) 653-9660
Fax
(740) 653-8975
NPI assigned
May 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Authorized official

Name
Diane L Glenn
Title
Front Desk
Phone
(740) 653-9660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

330 N Broad St
Lancaster, OH 43130-3003

Mailing address

330 N Broad St
Lancaster, OH 43130-3003
Phone (740) 653-9660

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address willliammedveddds@att.net Direct

National Provider Directory

National Provider Directory

Locations

330 N Broad St
Lancaster, OH 43130
Phone (740) 653-9660

Practitioners & affiliated clinicians

Practitioners 1

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": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1568083392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N BROAD ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303003",
            "telephone_number": "740-653-9660",
            "fax_number": "740-653-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BROAD ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303003",
            "telephone_number": "740-653-9660",
            "fax_number": "740-653-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L MEDVED DDS FAMILY DENTISTRY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FRONT DESK",
        "authorized_official_telephone_number": "740-653-9660"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "willliammedveddds@att.net",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "330 N Broad St",
            "city": "Lancaster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431303003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.