Edward J Denholm, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1346004 Issued in OH

Practice address

528 Portage Trail
Cuyahoga Falls, OH 44221-3230

Phone

(330) 633-6420

Fax

(330) 630-6420

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1689668501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 PORTAGE TRAIL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213230",
            "telephone_number": "330-633-6420",
            "fax_number": "330-630-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 PORTAGE TRAIL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213230",
            "telephone_number": "330-633-6420",
            "fax_number": "330-630-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENHOLM",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "1346004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura E Delsignore, IMFT-S, LPCC-S
• Bridget Demarco
• Arthur Francis Dembinski, M.D.
• Michaela Demeio
• Helen Antoinette Deneselya, LPCC, LICDC
• Carsen Shea Dennis
• Dental Professionals Cleveland-Nouneh, Inc.
• Dental Services of Ohio (ImmediaDent)
• Datinder Bir Singh Deo, MD
• Tammi Ann Depascale

• General Practice Dentistry in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.