NPIMap

Organization Active NPI

James M. Wensink DDS Inc.

  • Dentist
  • Euclid, OH
National Provider Identifier
1609059609
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-014999 Issued in OH
Legal business name
JAMES M. WENSINK DDS INC.
Practice address
19551 Euclid Ave
Euclid, OH 44117-1409
Phone
(216) 692-3777
Fax
(216) 692-3688
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. James M. Wensink, D.D.S.NPI 1417170572
Title
President
Phone
(216) 692-3777

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30-014999 OH Primary

Addresses

Primary practice location

19551 Euclid Ave
Euclid, OH 44117-1409

Mailing address

19551 Euclid Ave
Euclid, OH 44117-1409
Phone (216) 692-3777

Other identifiers 1

IdentifierTypeStateIssuer
0490740MedicaidOH

Other names 1

  • North Coast Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1609059609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19551 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171409",
            "telephone_number": "216-692-3777",
            "fax_number": "216-692-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19551 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171409",
            "telephone_number": "216-692-3777",
            "fax_number": "216-692-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M. WENSINK DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "WENSINK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-692-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-014999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490740",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Coast Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.