NPIMap

Organization Active NPI

Frank Radis, DDS, Ms, Inc

  • Pediatric Dentistry
  • Aurora, OH
National Provider Identifier
1841489879
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
19192 Issued in OH
Legal business name
FRANK RADIS, DDS, MS, INC
Practice address
85 N Chillicothe Rd
Aurora, OH 44202-8739
Phone
(330) 562-2700
Fax
(330) 562-0534
NPI assigned
Oct 16, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Michelle Helen Parish
Title
Financial Coordinator
Phone
(330) 562-2700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 021804 OH
Pediatric Dentistry 1223P0221X 19192 OH Primary

Addresses

Primary practice location

85 N Chillicothe Rd
Aurora, OH 44202-8739

Mailing address

85 N Chillicothe Rd
Aurora, OH 44202-8739
Phone (330) 562-2700

Other identifiers 2

IdentifierTypeStateIssuer
2050097MedicaidOH
2467129MedicaidOH

National Provider Directory

National Provider Directory

Locations

85 N Chillicothe Rd
Aurora, OH 44202
Phone (330) 562-2700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1841489879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 N CHILLICOTHE RD",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442028739",
            "telephone_number": "330-562-2700",
            "fax_number": "330-562-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 N CHILLICOTHE RD",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442028739",
            "telephone_number": "330-562-2700",
            "fax_number": "330-562-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK RADIS, DDS, MS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "PARISH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "330-562-2700"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "021804",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "19192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050097",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2467129",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.