NPIMap

Organization Active NPI

Avery Dental Group Inc. E. Tartarta, D.D.S., Kathryn Elia-Apotsos D.D.

  • General Practice Dentistry
  • Broadview Heights, OH
National Provider Identifier
1619272887
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AVERY DENTAL GROUP INC. E. TARTARTA, D.D.S., KATHRYN ELIA-APOTSOS D.D.
Practice address
8200 Avery Rd
Broadview Heights, OH 44147
Phone
(440) 526-4866
Fax
(440) 526-9298
NPI assigned
Jan 20, 2011
Last updated
Jan 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Kathryn Joanne Elia-Apotsos, D.D.S.NPI 1821174996
Title
Dentist
Phone
(440) 526-4866

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8200 Avery Rd
Broadview Heights, OH 44147

Mailing address

8200 Avery Rd
Broadview Heights, OH 44147
Phone (440) 526-4866

Other names 1

  • E. Tartara D.D.S. Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

8200 Avery Rd
Broadview Hts, OH 44147
Phone (440) 526-0860

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1619272887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 AVERY RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "44147",
            "telephone_number": "440-526-4866",
            "fax_number": "440-526-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 AVERY RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "44147",
            "telephone_number": "440-526-4866",
            "fax_number": "440-526-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY DENTAL GROUP INC. E. TARTARTA, D.D.S., KATHRYN ELIA-APOTSOS D.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "ELIA-APOTSOS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "440-526-4866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E. Tartara D.D.S. Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Broadview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.