NPIMap

Organization Active NPI

Ocean Dental of Ohio, P.C.

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1629292826
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OCEAN DENTAL OF OHIO, P.C.
Practice address
8101 Euclid Ave
Cleveland, OH 44103-5059
Phone
(216) 229-2500
Fax
(216) 229-2501
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chad B. Hoecker
Title
Owner
Phone
(405) 707-0600

Specialties & licenses 1

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

Addresses

Primary practice location

8101 Euclid Ave
Cleveland, OH 44103-5059

Mailing address

206 W 6TH Ave
Stillwater, OK 74074-4017
Phone (405) 707-0600

Other identifiers 2

IdentifierTypeStateIssuer
109232OtherOHDORAL PROVIDER NUMBER
2624217MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Ocean Dental of Ohio PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8101 Euclid Ave
Cleveland, OH 44103
Phone (216) 229-2500

Practitioners & affiliated clinicians

Practitioners 10

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629292826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744017",
            "telephone_number": "405-707-0600",
            "fax_number": "405-707-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441035059",
            "telephone_number": "216-229-2500",
            "fax_number": "216-229-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN DENTAL OF OHIO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOECKER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-707-0600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL PROVIDER NUMBER",
            "identifier": "109232",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2624217",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.