Medina Pediatric Dental Associates

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

18125 Issued in OH

Legal business name

MEDINA PEDIATRIC DENTAL ASSOCIATES

Practice address

3443 Medina Rd
Suite 104
Medina, OH 44256-5360

Phone

(330) 391-1157

NPI assigned

Jan 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. James Kozik, D.D.S.

Title

Owner

Phone

(330) 391-1157

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1669702122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 MEDINA RD",
            "address_2": "SUITE 104",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 MEDINA RD",
            "address_2": "SUITE 104",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565360",
            "telephone_number": "330-391-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA PEDIATRIC DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "KOZIK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-391-1157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "18125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medina Hospital
• Medina OB/GYN Associates, Inc.
• Medina Opco, LLC
• Medina Operations, LLC
• Medina Pathology Associates Inc.
• Medina Village Retirement Community, LTD
• Medina Vision Centre Inc.
• Medina-Summit Ambulatory Surgery Center
• Daniel Meeks
• Abanoub Michael Shafik Megala

• Pediatric Dentistry in Medina, OH
• Providers in Medina, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.