NPIMap

Organization Active NPI

Munroe Falls Family Dentistry Co

  • Dentist
  • Munroe Falls, OH
National Provider Identifier
1740330489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MUNROE FALLS FAMILY DENTISTRY CO
Practice address
425 N Main St
Munroe Falls, OH 44262
Phone
(330) 688-4942
Fax
(330) 688-9064
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Michael R Evan, DMDNPI 1205986940
Title
President
Phone
(330) 688-4942

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

425 N Main St
Munroe Falls, OH 44262

Mailing address

PO Box 216
425 N Main St
Munroe Falls, OH 44262
Phone (330) 688-4942

National Provider Directory

National Provider Directory

Locations

425 N Main St
Munroe Falls, OH 44262
Phone (330) 688-4942

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740330489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "address_2": "425 N MAIN ST",
            "city": "MUNROE FALLS",
            "state": "OH",
            "postal_code": "44262",
            "telephone_number": "330-688-4942",
            "fax_number": "330-688-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N MAIN ST",
            "city": "MUNROE FALLS",
            "state": "OH",
            "postal_code": "44262",
            "telephone_number": "330-688-4942",
            "fax_number": "330-688-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNROE FALLS FAMILY DENTISTRY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-688-4942",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munroe Falls, 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.