Individual provider Active NPI

Thomas William Cordrick, DDS

  • Dentist
  • Parma Heights, OH
National Provider Identifier
1811001480
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13653 Issued in OH
Practice address
6285 Pearl Rd Ste 29
Parma Heights, OH 44130-3069
Phone
(440) 842-5070
Fax
(440) 842-5071
NPI assigned
Aug 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13653 OH Primary

Addresses

Primary practice location

6285 Pearl Rd Ste 29
Parma Heights, OH 44130-3069

Mailing address

6285 Pearl Rd Ste 29
Parma Heights, OH 44130-3069
Phone (440) 842-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150506000443 OH Order and Referring Only - DentistPractitioner - Dentist 2365761707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas W. Cordrick, D.D.S., Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811001480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 PEARL RD STE 29",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303069",
            "telephone_number": "440-842-5070",
            "fax_number": "440-842-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 PEARL RD STE 29",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303069",
            "telephone_number": "440-842-5070",
            "fax_number": "440-842-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDRICK",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "13653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

Verify at the official NPI Registry.