NPIMap

Organization Active NPI

Dental Express Kids Niles Michael R. Griesmer DDS LLC

  • Dentist
  • Niles, OH
National Provider Identifier
1871806562
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30017887 Issued in OH
Legal business name
DENTAL EXPRESS KIDS NILES MICHAEL R. GRIESMER DDS LLC
Practice address
6285 Youngstown Warren Rd
Niles, OH 44446-4656
Phone
(330) 505-9224
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Amy R Mauerman
Title
Executive Admin
Phone
(330) 533-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30017887 OH Primary

Addresses

Primary practice location

6285 Youngstown Warren Rd
Niles, OH 44446-4656

Mailing address

6285 Youngstown Warren Rd
Niles, OH 44446-4656
Phone (330) 505-9224

National Provider Directory

National Provider Directory

Locations

6285 Youngstown Warren Rd
Niles, OH 44446
Phone (330) 505-9224

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1871806562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 YOUNGSTOWN WARREN RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464656",
            "telephone_number": "330-505-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 YOUNGSTOWN WARREN RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464656",
            "telephone_number": "330-505-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL EXPRESS KIDS NILES MICHAEL R. GRIESMER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "MAUERMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE ADMIN",
        "authorized_official_telephone_number": "330-533-3400"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30017887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.