Active NPI
Joseph D Bedich, DDS
- Dentist
- Cortland, OH
National Provider Identifier
1609894260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18742
- Practice address
- 481 S High St
Cortland, OH 44410-1437 - Phone
- (330) 637-7971
- Fax
- (330) 637-8958
- NPI assigned
- Jul 18, 2006
- Last updated
- Jan 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18742 | OH | Primary |
Addresses
Primary practice location
481 S High St
Cortland, OH 44410-1437
Mailing address
481 S High St
Cortland, OH 44410-1437
Phone (330) 637-7971
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150601002805 | OH | Order and Referring Only - Oral Surgery | 0446255848 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18742 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1609894260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 S HIGH ST",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444101437",
"telephone_number": "330-637-7971",
"fax_number": "330-637-8958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 S HIGH ST",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444101437",
"telephone_number": "330-637-7971",
"fax_number": "330-637-8958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDICH",
"first_name": "JOSEPH",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "18742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortland, OH
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- Dennis A Benton, D.D.S.
- Mark A Betz, DDS
- Ross Gregory Blevins
- Blue Star Family Counseling Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.