NPIMap

Organization Active NPI

Dental Services of Ohio

Doing business as ImmediaDent

  • General Practice Dentistry
  • Cuyahoga Falls, OH
National Provider Identifier
1871767301
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-018565 Issued in OH
Legal business name
DENTAL SERVICES OF OHIO
Doing business as
ImmediaDent
Practice address
726-730 Howe Rd.
Cuyahoga Falls, OH 44221-5124
Phone
(330) 928-1900
Fax
(913) 800-6967
NPI assigned
Apr 16, 2008
Organization subpart
Yes
Parent organization
DENTAL SERVICES OF OHIOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Amy Wheeler
Title
Credentialing Coordinator
Phone
(913) 800-6952

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 30-018565 OH Primary

Addresses

Primary practice location

726-730 Howe Rd.
Cuyahoga Falls, OH 44221-5124

Mailing address

PO Box 11568
Overland Park, KS 66207-4268
Phone (913) 428-1670

Other names 1

  • ImmediaDent Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Services of Ohio James G Turk DDS Denean R Carr DDS Inc16 organizations share this tax ID, including this one
Part of
Dental Services of Ohio James G Turk DDS Denean R Carr DDS Inc

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1871767301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11568",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662074268",
            "telephone_number": "913-428-1670",
            "fax_number": "913-800-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726-730 HOWE RD.",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442215124",
            "telephone_number": "330-928-1900",
            "fax_number": "913-800-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SERVICES OF OHIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL SERVICES OF OHIO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "913-800-6952"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-018565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ImmediaDent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.