Organization Active NPI

Munson Dental and Facial Aesthetics

  • Dental Clinic/Center
  • Canton, OH
National Provider Identifier
1831693019
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MUNSON DENTAL AND FACIAL AESTHETICS
Practice address
4811 Munson St NW
Canton, OH 44718-3614
Phone
(234) 215-2735
NPI assigned
Mar 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Dr. Stefanie Cain Nikodem, DDS
Title
Operations Manager
Phone
(234) 215-2735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4811 Munson St NW
Canton, OH 44718-3614

Mailing address

4811 Munson St NW
Canton, OH 44718-3614

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1831693019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183614",
            "telephone_number": "234-215-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSON DENTAL AND FACIAL AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "CAIN NIKODEM",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "234-215-2735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.