Individual provider Active NPI

George R. Kast, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Strongsville, OH
National Provider Identifier
1679596266
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30019602 Issued in OH
Practice address
16580 Pearl Rd
Strongsville, OH 44136-6044
Phone
(440) 878-3384
Fax
(440) 878-1953
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 30019602 OH Primary

Addresses

Primary practice location

16580 Pearl Rd
Strongsville, OH 44136-6044

Mailing address

16580 Pearl Rd
Strongsville, OH 44136-6044
Phone (440) 878-3384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30019602OHMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679596266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16580 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366044",
            "telephone_number": "440-878-3384",
            "fax_number": "440-878-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16580 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366044",
            "telephone_number": "440-878-3384",
            "fax_number": "440-878-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAST",
        "first_name": "GEORGE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30019602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.