Fredrick K Rzepka, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30019207 Issued in OH

Practice address

5035 Mayfield Rd
225
Lyndhurst, OH 44124-2688

Phone

(216) 382-7665

NPI assigned

Jul 9, 2013

Last updated

Jul 9, 2013By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fredrick K Rzepka DDS Inc

  • Dentist
  • Lyndhurst, OH
  • NPI 1700071222
  Authorized official Same address or phone

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1730520578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 MAYFIELD RD",
            "address_2": "225",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242688",
            "telephone_number": "216-382-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 MAYFIELD RD",
            "address_2": "225",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242688",
            "telephone_number": "216-382-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RZEPKA",
        "first_name": "FREDRICK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30019207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Hall Ross, LISW
• Jordan Aaron Roth, DDS
• Lacresha Marie Rox, PMHNP-BC
• Andrea Rudolph, STNA
• Amber Russell, RN
• Safecarellc
• Lynn Goldstein Salzbrenner, AUD
• Robert B Saper, M.D.
• Galina Gabriela Sapo, RPH
• Corinne Michelle Scahffer, MT

• Dentist in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.