Organization Active NPI

Endodontic Associates

  • Endodontics
  • Rocky River, OH
National Provider Identifier
1770687014
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
30019257 Issued in OH
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

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Ildiko Eydie Bakos, DDS MSNPI 1922214097
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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 30018660 OH
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 30019257 OH Primary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 30011419 OH
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.