Active NPI
David S Waldman I, D.D.S.
- General Practice Dentistry
- Youngstown, OH
National Provider Identifier
1699789701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14612
- Practice address
- 127 Churchill Hubbard Rd
Youngstown, OH 44505-1386 - Phone
- (330) 759-4550
- Fax
- (330) 759-4548
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14612 | OH | Primary |
Addresses
Primary practice location
127 Churchill Hubbard Rd
Youngstown, OH 44505-1386
Mailing address
2910 Biscayne Ave
Youngstown, OH 44505-2112
Phone (330) 759-9277
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14612 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Easy Dental Spa LLC | 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.
-
- Clinic/Center
- Newton Falls, OH
- NPI 1326404583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699789701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 BISCAYNE AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445052112",
"telephone_number": "330-759-9277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 CHURCHILL HUBBARD RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051386",
"telephone_number": "330-759-4550",
"fax_number": "330-759-4548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDMAN",
"first_name": "DAVID",
"middle_name": "S",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "14612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, 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.