Organization Active NPI

North Coast Family Dental Care Inc.

  • Dentist
  • Strongsville, OH
National Provider Identifier
1700960754
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30021111 Issued in OH
Legal business name
NORTH COAST FAMILY DENTAL CARE INC.
Practice address
20886 Drake Rd
Strongsville, OH 44149-5850
Phone
(440) 572-5055
Fax
(440) 572-6020
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jack W. Thomason
Title
Business Manager
Phone
(440) 212-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 30021111 OH Primary

Addresses

Primary practice location

20886 Drake Rd
Strongsville, OH 44149-5850

Mailing address

20886 Drake Rd
Strongsville, OH 44149-5850
Phone (440) 572-5055

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700960754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20886 DRAKE RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441495850",
            "telephone_number": "440-572-5055",
            "fax_number": "440-572-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20886 DRAKE RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441495850",
            "telephone_number": "440-572-5055",
            "fax_number": "440-572-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST FAMILY DENTAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "440-212-4949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30021111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • 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.