William F Kubicek III DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30014109 Issued in OH

Legal business name

WILLIAM F KUBICEK III DDS INC

Practice address

3690 Orange Place
465
Beachwood, OH 44122

Phone

(216) 831-8118

Fax

(216) 831-8653

NPI assigned

Aug 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Frank Kubicek III, DDS

Title

Pres

Phone

(216) 831-8118

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689684953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PLACE",
            "address_2": "465",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-831-8118",
            "fax_number": "216-831-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PLACE",
            "address_2": "465",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-831-8118",
            "fax_number": "216-831-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F KUBICEK III DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUBICEK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "216-831-8118",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30014109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.