Active NPI
Jonathan P Roscoe, DMD
- Dentist
- Akron, OH
National Provider Identifier
1821247776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30022801
- Practice address
- 1494A S Arlington Ave
Akron, OH 44306-3832 - Phone
- (330) 479-3225
- Fax
- (330) 478-4781
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30022801 | OH | Primary |
Addresses
Primary practice location
1494A S Arlington Ave
Akron, OH 44306-3832
Mailing address
1494A S Arlington Ave
Akron, OH 44306-3832
Phone (330) 479-3225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30022801 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1821247776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1494A S ARLINGTON AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443063832",
"telephone_number": "330-479-3225",
"fax_number": "330-478-4781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1494A S ARLINGTON AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443063832",
"telephone_number": "330-479-3225",
"fax_number": "330-478-4781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSCOE",
"first_name": "JONATHAN",
"middle_name": "P",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30022801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.