NPIMap

Organization Active NPI

Avon Pointe Pediatric Dentistry

  • Dental Clinic/Center
  • Avon, OH
National Provider Identifier
1619786878
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AVON POINTE PEDIATRIC DENTISTRY
Practice address
36855 American Way Ste C
Avon, OH 44011-4059
Phone
(440) 934-0149
NPI assigned
Jan 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Mary Frye, DDSNPI 1235752072
Title
Owner
Phone
(440) 934-0149

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

36855 American Way Ste C
Avon, OH 44011-4059

Mailing address

36855 American Way Ste C
Avon, OH 44011-4059
Phone (440) 934-0149

Other names 1

  • Avon Pointe Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

36855 American Way
Ste C
Avon, OH 44011
Phone (440) 934-0149

Practitioners & affiliated clinicians

Practitioners 5

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": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1619786878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36855 AMERICAN WAY STE C",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114059",
            "telephone_number": "440-934-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36855 AMERICAN WAY STE C",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114059",
            "telephone_number": "440-934-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON POINTE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-934-0149",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avon Pointe Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.