NPIMap

Organization Active NPI

John a Hudec Cleveland Dental Health Center Inc

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1891727558
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN A HUDEC CLEVELAND DENTAL HEALTH CENTER INC
Practice address
12409 Lorain Avenue
Cleveland, OH 44111-3515
Phone
(216) 252-6622
Fax
(216) 252-4462
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
John A Hudec, DDSNPI 1295754240
Title
President
Phone
(216) 398-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

12409 Lorain Avenue
Cleveland, OH 44111-3515

Mailing address

12409 Lorain Avenue
Cleveland, OH 44111-3515
Phone (216) 252-6622

Other identifiers 1

IdentifierTypeStateIssuer
0476551MedicaidOH

Other names 1

  • Hudec Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

12409 Lorain Ave
Cleveland, OH 44111
Phone (216) 252-6622

Practitioners & affiliated clinicians

Practitioners 9

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1891727558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12409 LORAIN AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113515",
            "telephone_number": "216-252-6622",
            "fax_number": "216-252-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 LORAIN AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113515",
            "telephone_number": "216-252-6622",
            "fax_number": "216-252-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A HUDEC CLEVELAND DENTAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "HUDEC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-398-8900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476551",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudec Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.