Active NPI
Kenneth B Mathews Jr.
- Driver
- Eastlake, OH
National Provider Identifier
1891605028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- SC271747
- Practice address
- 931 Eastlake Dr
Eastlake, OH 44095-2327 - Phone
- (216) 688-7384
- NPI assigned
- Sep 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | SC271747 | OH | Primary |
Addresses
Primary practice location
931 Eastlake Dr
Eastlake, OH 44095-2327
Mailing address
931 Eastlake Dr
Eastlake, OH 44095-2327
Phone (216) 688-7384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1891605028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 EASTLAKE DR",
"city": "EASTLAKE",
"state": "OH",
"postal_code": "440952327",
"telephone_number": "216-688-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 EASTLAKE DR",
"city": "EASTLAKE",
"state": "OH",
"postal_code": "440952327",
"telephone_number": "216-688-7384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "KENNETH",
"middle_name": "B",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "SC271747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.