Deak Medical Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DEAK MEDICAL DENTISTRY

Practice address

1212 Abbe Rd N
Elyria, OH 44035-1600

Phone

(440) 366-3325

Fax

(440) 366-6611

NPI assigned

Nov 1, 2019

Organization subpart

No

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

Authorized official

Name

Michele R Kirby

Title

Office Manager

Phone

(440) 366-3325

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1780228767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 ABBE RD N",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351600",
            "telephone_number": "440-366-3325",
            "fax_number": "440-366-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 ABBE RD N",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351600",
            "telephone_number": "440-366-3325",
            "fax_number": "440-366-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Main St",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "OH",
            "postal_code": "440441206",
            "country_code": "US",
            "telephone_number": "440-926-3441",
            "fax_number": "440-926-3885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEAK MEDICAL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-366-3325"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Davis, PT, DPT
• Haylie Davis, DPT
• Marget Davis
• Roderick Davis
• Terry Kay Dawson
• William C Deak, DDS
• Sara Deal, RDN, LD
• Deasia Lee Dean
• Lacey Dean, LPN
• Inez Mercedes Deleon-Quinones

• Dentist in Elyria, OH
• Providers in Elyria, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.