NPIMap

Organization Active NPI

Dental Express Shaker Square Ted a Schuster DDS LLC

  • Dentist
  • Shaker HTS, OH
National Provider Identifier
1659608164
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3022844 Issued in OH
Legal business name
DENTAL EXPRESS SHAKER SQUARE TED A SCHUSTER DDS LLC
Practice address
12808 Drexmore Rd
Shaker HTS, OH 44120-5609
Phone
(216) 921-8888
NPI assigned
Nov 5, 2009
Last updated
Jul 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Janet Soda
Title
Administrative Director
Phone
(330) 533-3400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3022844 OH Primary
Dentist 122300000X 13290 OH

Addresses

Primary practice location

12808 Drexmore Rd
Shaker HTS, OH 44120-5609

Mailing address

3830 Starrs Centre Dr
Canfield, OH 44406-8003
Phone (330) 533-3400

National Provider Directory

National Provider Directory

Locations

3830 Starrs Centre Dr
Canfield, OH 44406

Practitioners & affiliated clinicians

Practitioners 1

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": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1659608164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 STARRS CENTRE DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068003",
            "telephone_number": "330-533-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12808 DREXMORE RD",
            "city": "SHAKER HTS",
            "state": "OH",
            "postal_code": "441205609",
            "telephone_number": "216-921-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL EXPRESS SHAKER SQUARE TED A SCHUSTER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "SODA",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "330-533-3400"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "3022844",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "13290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.