Organization Active NPI

Andrew J Deak & Associates Inc

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1760745756
Registry record updated Jun 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
022513 Issued in OH
Legal business name
ANDREW J DEAK & ASSOCIATES INC
Practice address
3730 Rocky River Dr
Suite 1
Cleveland, OH 44111-4044
Phone
(216) 251-8787
NPI assigned
Jun 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2012

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

Authorized official

Name
Dr. Andrew Justen Deak, MD, DMD
Title
President
Phone
(440) 667-2224

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 022513 OH Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 022343 OH

Addresses

Primary practice location

3730 Rocky River Dr
Suite 1
Cleveland, OH 44111-4044

Mailing address

19657 Hilliard Blvd
Rocky River, OH 44116-2926

National Provider Directory

National Provider Directory
Tax ID family
Andrew J Deak Associates 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.

NPI Registry JSON

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340496000000",
    "number": "1760745756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19657 HILLIARD BLVD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 ROCKY RIVER DR",
            "address_2": "SUITE 1",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114044",
            "telephone_number": "216-251-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J DEAK & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-24",
        "status": "A",
        "authorized_official_last_name": "DEAK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JUSTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-667-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "022513",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "022343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2012; 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.