Ohio Kids Dental Akron - Roberts DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OHIO KIDS DENTAL AKRON - ROBERTS DMD, LLC

Practice address

1250 Northmoreland Blvd
Cuyahoga Falls, OH 44221-5221

Phone

(480) 866-8811

NPI assigned

May 28, 2024

Organization subpart

No

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

Authorized official

Name

Teresa Zwicky

Title

Credentialing Manager

Phone

(480) 866-8811

Specialties & licenses 1

Addresses

Other names 1

• Ohio Kids Dental - Cuyahoga Falls Doing business as

Locations

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1740020940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 NORTHMORELAND BLVD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442215221",
            "telephone_number": "480-866-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NORTHMORELAND BLVD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442215221",
            "telephone_number": "480-866-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO KIDS DENTAL AKRON - ROBERTS DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "ZWICKY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-866-8811"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Kids Dental - Cuyahoga Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.