NPIMap

Organization Active NPI

Locust Dental Group Jeffrey S Rosenthal DDS Inc

  • Dental Clinic/Center
  • Akron, OH
National Provider Identifier
1841772035
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LOCUST DENTAL GROUP JEFFREY S ROSENTHAL DDS INC
Practice address
300 Locust St Ste 430
Akron, OH 44302-1804
Phone
(330) 535-7876
NPI assigned
Sep 4, 2018
Last updated
Sep 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Amy J Shreves
Title
Credentialing Manager
Phone
(440) 352-5700

Specialties & licenses 1

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

Addresses

Primary practice location

300 Locust St Ste 430
Akron, OH 44302-1804

Mailing address

300 Locust St Ste 430
Akron, OH 44302-1804

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1841772035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LOCUST ST STE 430",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LOCUST ST STE 430",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021804",
            "telephone_number": "330-535-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCUST DENTAL GROUP JEFFREY S ROSENTHAL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "SHREVES",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "440-352-5700"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 4, 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.