NPIMap

Organization Active NPI

Rockside Family Dental Care

  • General Practice Dentistry
  • Independence, OH
National Provider Identifier
1922005743
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROCKSIDE FAMILY DENTAL CARE
Practice address
6132 W Creek Rd
Independence, OH 44131-2130
Phone
(216) 524-8481
Fax
(216) 520-2868
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Dean A. Carmichael, DDSNPI 1356348262
Title
Vice President
Phone
(216) 524-8481

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 OH Primary

Addresses

Primary practice location

6132 W Creek Rd
Independence, OH 44131-2130

Mailing address

6132 W Creek Rd
Independence, OH 44131-2130
Phone (216) 524-8481

National Provider Directory

National Provider Directory

Locations

6132 W Creek Rd
Independence, OH 44131
Phone (216) 524-8481

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922005743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 W CREEK RD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312130",
            "telephone_number": "216-524-8481",
            "fax_number": "216-520-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 W CREEK RD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312130",
            "telephone_number": "216-524-8481",
            "fax_number": "216-520-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKSIDE FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARMICHAEL",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "216-524-8481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.