Individual provider Active NPI

Paul R Geiss, DDS

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1912925678
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-022167 Issued in OH
Practice address
1730 West 25TH Street
Cleveland, OH 44113-3108
Phone
(216) 861-5330
Fax
(216) 623-7596
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-022167 OH Primary

Addresses

Primary practice location

1730 West 25TH Street
Cleveland, OH 44113-3108

Mailing address

1730 West 25TH Street
Cleveland, OH 44113-3108
Phone (216) 861-5330

Other identifiers 1

IdentifierTypeStateIssuer
2624879MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124002849 OH Order and Referring Only - DentistPractitioner - Dentist 7719287671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-022167OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John a Hudec DDS Inc General Practice Past Accepting new patients
John a Hudec Puritas Dental Associates Inc General Practice Past Accepting new patients
Hudec Dental Center of Mentor, Inc. General Practice Past Accepting new patients
John a Hudec Strongsville Dental Associates Inc General Practice Past Accepting new patients
Hudec Dental Center of Canton, Inc. General Practice Past Accepting new patients
Hudec Dental Associates, Inc. General Practice Past Accepting new patients
John a Hudec Cleveland Dental Health Center Inc General Practice Past Accepting new patients
John a Hudec DDS Specialty Services Inc General Practice Past Accepting new patients

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1912925678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 WEST 25TH STREET",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-861-5330",
            "fax_number": "216-623-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 WEST 25TH STREET",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-861-5330",
            "fax_number": "216-623-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISS",
        "first_name": "PAUL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2624879",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.