Individual provider Active NPI

Bryce Cremean, D.D.S.

  • General Practice Dentistry
  • Mentor, OH
National Provider Identifier
1689083040
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.024919 Issued in OH
Practice address
6303 Center St
Mentor, OH 44060-2467
Phone
(440) 951-5511
NPI assigned
Aug 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6553 NV
General Practice Dentistry 1223G0001X 30.024919 OH Primary

Addresses

Primary practice location

6303 Center St
Mentor, OH 44060-2467

Mailing address

6303 Center St
Mentor, OH 44060-2467
Phone (440) 951-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170223001215 OH Order and Referring Only - DentistPractitioner - Dentist 4688988686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6553NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry J. Fioritto, D.D.S., Inc. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1689083040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 CENTER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440602467",
            "telephone_number": "440-951-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 CENTER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440602467",
            "telephone_number": "440-951-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREMEAN",
        "first_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-10",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6553",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.