Christopher M Eddy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18500 Issued in OH

Practice address

1170 Niles Cortland Rd
Suite 2
Niles, OH 44446-3510

Phone

(330) 652-4967

Fax

(330) 652-3017

NPI assigned

Mar 29, 2007

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689794117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 NILES CORTLAND RD",
            "address_2": "SUITE 2",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463510",
            "telephone_number": "330-652-4967",
            "fax_number": "330-652-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 NILES CORTLAND RD",
            "address_2": "SUITE 2",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463510",
            "telephone_number": "330-652-4967",
            "fax_number": "330-652-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Durkin
• Angela Duwve
• Emily Beth Dvorovy
• Terance Travon Eaton
• Jessica Marie Eckman, D.C.
• William S Eddy, DO
• Emily Edwards
• Julie Edwards
• J'Mya Eggleston
• Kristine Egry

• General Practice Dentistry in Niles, OH
• Providers in Niles, 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 Jul 8, 2007; 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.