Charissa Katzan McCune

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30-020521 Issued in OH

Practice address

36855 American Way Ste C
Avon, OH 44011-4059

Phone

(440) 934-0149

Fax

(440) 934-3990

NPI assigned

Jan 29, 2008

Last updated

Jun 12, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avon Pointe Pediatric Dentistry

  • Dental Clinic/Center
  • Avon, OH
  • NPI 1619786878
  NPD (past)
• Carolyn B Crowell DMD Inc

  • Pediatric Dentistry
  • Avon, OH
  • NPI 1386618072
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1912184268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36855 AMERICAN WAY STE C",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114059",
            "telephone_number": "440-934-0149",
            "fax_number": "440-934-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36855 AMERICAN WAY STE C",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114059",
            "telephone_number": "440-934-0149",
            "fax_number": "440-934-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUNE",
        "first_name": "CHARISSA",
        "middle_name": "KATZAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30-020521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Maruskin
• Monica Mathur, D.P.M.
• Charlene Matus
• Jasmine Mauricio
• Shana McCormick, SLP
• Melissa McCutcheon, LPCC
• Clarissa Kathryn McDermott, D.M.D.
• Rebecca McGuire
• Ariana C McHugh-Carias, CT
• Alice G McIntyre, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Avon, OH
• Providers in Avon, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.