Organization Active NPI

Canton Family Dentistry

  • General Practice Dentistry
  • Canton, OH
National Provider Identifier
1730428830
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19147 Issued in OH
Legal business name
CANTON FAMILY DENTISTRY
Practice address
603 13TH St NW
Canton, OH 44703-3121
Phone
(330) 453-8787
Fax
(330) 453-9292
NPI assigned
Feb 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Kanthasamy Ragunanthan, D.D.S., M.S.NPI 1386855450
Title
Dentist/Owner
Phone
(330) 453-8787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19147 OH Primary

Addresses

Primary practice location

603 13TH St NW
Canton, OH 44703-3121

Mailing address

603 13TH St NW
Canton, OH 44703-3121
Phone (330) 453-8787

National Provider Directory

National Provider Directory

Locations

603 13th St NW
Canton, OH 44703
Phone (330) 453-8787

Practitioners & affiliated clinicians

Practitioners 2

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": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1730428830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 13TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447033121",
            "telephone_number": "330-453-8787",
            "fax_number": "330-453-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 13TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447033121",
            "telephone_number": "330-453-8787",
            "fax_number": "330-453-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "RAGUNANTHAN",
        "authorized_official_first_name": "KANTHASAMY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "330-453-8787",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.