Active NPI
Steven W. Huber, DDS & Samuel R. Pelkey, DMD, LLC
- General Practice Dentistry
- Mansfield, OH
National Provider Identifier
1659820413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18619
- Legal business name
- STEVEN W. HUBER, DDS & SAMUEL R. PELKEY, DMD, LLC
- Practice address
- 13 Park Ave W
Suite 517
Mansfield, OH 44902-1714 - Phone
- (419) 522-2523
- NPI assigned
- Sep 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carla Comer
- Title
- Office Manager
- Phone
- (614) 875-7070
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18619 | OH | Primary |
| General Practice Dentistry | 1223G0001X | 24564 | OH | |
| General Practice Dentistry | 1223G0001X | 24249 | OH |
Addresses
Primary practice location
13 Park Ave W
Suite 517
Mansfield, OH 44902-1714
Mailing address
13 Park Ave W
Suite 517
Mansfield, OH 44902-1714
Phone (419) 522-2523
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Mansfield, OH
- NPI 1093746679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474502400000",
"number": "1659820413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 PARK AVE W",
"address_2": "SUITE 517",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449021714",
"telephone_number": "419-522-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 PARK AVE W",
"address_2": "SUITE 517",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449021714",
"telephone_number": "419-522-2523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN W. HUBER, DDS & SAMUEL R. PELKEY, DMD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-22",
"last_updated": "2016-09-22",
"status": "A",
"authorized_official_last_name": "COMER",
"authorized_official_first_name": "CARLA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "614-875-7070"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "18619",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "24564",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "24249",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.