Organization Active NPI

Steven W. Huber, DDS & Samuel R. Pelkey, DMD, LLC

  • General Practice Dentistry
  • Mansfield, OH
National Provider Identifier
1659820413
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18619 Issued in OH
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

Updated by the provider on Sep 22, 2016

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 18619 OH Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 24564 OH
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.