Andrew Danczak, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

30.024686 Issued in OH

Practice address

4163 Pearl Rd
Cleveland, OH 44109-3332

Phone

(216) 280-1600

NPI assigned

Feb 23, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1730571043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16606 ERNEST AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115739",
            "telephone_number": "216-280-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4163 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093332",
            "telephone_number": "216-280-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCZAK",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-23",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057670-1",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehul Danawala, M.D.
• Veronika Danchine
• Maurice Dancie Sr.
• Monique Dancy
• Shatoya Dancy
• Drew Nicholas Dandrea, PA-C
• Taylor Nicole Dandrea, PA-C
• Brenda A Dane, MPH, MCHES
• Kelli Danese, CNP
• Natasha Nikki Danforth

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.