Individual provider Active NPI

Andrew S. Holpuch, D.D.S.

  • General Practice Dentistry
  • Newton Falls, OH
National Provider Identifier
1821402900
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-024225 Issued in OH
Practice address
340 Ridge Rd Ste 2
Newton Falls, OH 44444-1264
Phone
(330) 872-5771
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-024225 OH Primary

Addresses

Primary practice location

340 Ridge Rd Ste 2
Newton Falls, OH 44444-1264

Mailing address

340 Ridge Rd Ste 2
Newton Falls, OH 44444-1264
Phone (330) 872-5771

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
I20160105002730 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6305148537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-024225OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Holpuch Dental Inc CurrentSince Oct 12, 2025 Accepting new patients
Andrew S Holpuch DDS, PHD, Inc Past Accepting new patients
Holpuch, Kiefer DDS and Associates Inc. General Practice Past Accepting new patients

Locations

340 Ridge Rd
Ste 2
Newton Falls, OH 44444
Phone (330) 872-5771

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1821402900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 RIDGE RD STE 2",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444441264",
            "telephone_number": "330-872-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 RIDGE RD STE 2",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444441264",
            "telephone_number": "330-872-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLPUCH",
        "first_name": "ANDREW",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-024225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Falls, OH

Sources for this page

Verify at the official NPI Registry.