NPIMap

Organization Active NPI

Erndt Yonchak & Agarwala DDS Ms Inc

  • Endodontics
  • Middletown, OH
National Provider Identifier
1740396530
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
OHH15690 Issued in OH
Legal business name
ERNDT YONCHAK & AGARWALA DDS MS INC
Practice address
150 N Breiel Blvd
Middletown, OH 45042
Phone
(513) 424-5630
Fax
(513) 424-0230
NPI assigned
Aug 22, 2006
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
Dr. Thomas A Yonchak Jr., DDS MS
Title
Vice President
Phone
(513) 424-5630

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X OH18306 OH
Endodontics 1223E0200X OH21698 OH
Endodontics 1223E0200X OHH15690 OH Primary

Addresses

Primary practice location

150 N Breiel Blvd
Middletown, OH 45042

Mailing address

150 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-5630

Other names 1

  • Erndt Yonchak & Halcomb DDS MS Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Erndt Yonchak Agarwala DDS Ms Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-5630

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740396530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45042",
            "telephone_number": "513-424-5630",
            "fax_number": "513-424-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45042",
            "telephone_number": "513-424-5630",
            "fax_number": "513-424-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNDT YONCHAK & AGARWALA DDS MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YONCHAK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "513-424-5630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "OH18306",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "OH21698",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "OHH15690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erndt Yonchak & Halcomb DDS MS Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Middletown, 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.