Active NPI
Endodontic Associates
- Endodontics
- Rocky River, OH
National Provider Identifier
1770687014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 30019257
- Legal business name
- ENDODONTIC ASSOCIATES
- Practice address
- 22255 Center Ridge Rd
Suite 204
Rocky River, OH 44116 - Phone
- (440) 333-1007
- Fax
- (440) 333-1229
- NPI assigned
- Sep 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ildiko Eydie Bakos, DDS MS
- Title
- Pres
- Phone
- (440) 333-1007
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 30018660 | OH | |
| Endodontics | 1223E0200X | 30019257 | OH | Primary |
| Endodontics | 1223E0200X | 30011419 | OH | |
| Endodontics | 1223E0200X | 30020141 | OH |
Addresses
Primary practice location
22255 Center Ridge Rd
Suite 204
Rocky River, OH 44116
Mailing address
22255 Center Ridge Rd
Suite 204
Rocky River, OH 44116
Phone (440) 333-1007
Other names 1
- Endodontic Associates Drs Ildiko E Bakos & Craig J Tyler
National Provider Directory
National Provider DirectoryLocations
22255 Center Ridge Rd
Ste 204
Rocky River, OH 44116
Phone (440) 333-1007
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Rocky River, OH
- NPI 1922214097
-
- Endodontics
- Rocky River, OH
- NPI 1770793564
-
- Endodontics
- Rocky River, OH
- NPI 1568673044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1770687014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22255 CENTER RIDGE RD",
"address_2": "SUITE 204",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "44116",
"telephone_number": "440-333-1007",
"fax_number": "440-333-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22255 CENTER RIDGE RD",
"address_2": "SUITE 204",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "44116",
"telephone_number": "440-333-1007",
"fax_number": "440-333-1229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDODONTIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "BAKOS",
"authorized_official_first_name": "ILDIKO",
"authorized_official_middle_name": "EYDIE",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "440-333-1007",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS MS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "30018660",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "30019257",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "30011419",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "30020141",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Endodontic Associates Drs Ildiko E Bakos & Craig J Tyler",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rocky River, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.