NPIMap

Organization Active NPI

Locust Dental Center

  • General Practice Dentistry
  • Akron, OH
National Provider Identifier
1609866227
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LOCUST DENTAL CENTER
Practice address
300 Locust St
Suite 430
Akron, OH 44302-1821
Phone
(330) 535-7876
Fax
(330) 535-9490
NPI assigned
Oct 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Mrs. Gail Lynn Kamlowsky
Title
Office Manager
Phone
(330) 535-7876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

300 Locust St
Suite 430
Akron, OH 44302-1821

Mailing address

300 Locust St
Suite 430
Akron, OH 44302-1821
Phone (330) 535-7876

Other identifiers 1

IdentifierTypeStateIssuer
0262933MedicaidOH

National Provider Directory

National Provider Directory

Locations

300 Locust St
Ste 430
Akron, OH 44302
Phone (330) 535-7876

Practitioners & affiliated clinicians

Practitioners 7

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": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1609866227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LOCUST ST",
            "address_2": "SUITE 430",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021821",
            "telephone_number": "330-535-7876",
            "fax_number": "330-535-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LOCUST ST",
            "address_2": "SUITE 430",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021821",
            "telephone_number": "330-535-7876",
            "fax_number": "330-535-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCUST DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "KAMLOWSKY",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-535-7876",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262933",
            "state": "OH"
        }
    ],
    "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 Sep 18, 2013; 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.