Individual provider Active NPI

Sylvia Malcmacher Kramer, DDS

  • Dentist
  • Akron, OH
National Provider Identifier
1932199346
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30017102 Issued in OH
Practice address
966 Clark St
Akron, OH 44306-1347
Phone
(330) 379-1958
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30017102 OH Primary

Addresses

Primary practice location

966 Clark St
Akron, OH 44306-1347

Mailing address

24049 Laureldale Rd
Shaker Heights, OH 44122-2141
Phone (216) 464-5555

Other identifiers 1

IdentifierTypeStateIssuer
0503691MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160309003047 OH Order and Referring Only - DentistPractitioner - Dentist 6204157647
I20160617001335 TX Order and Referring Only - DentistPractitioner - Dentist 6204157647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30017102OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Dental of Ohio, P.C. Past Accepting new patients

Organizations & group practices 1

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932199346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24049 LAURELDALE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222141",
            "telephone_number": "216-464-5555",
            "fax_number": "216-464-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 CLARK ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443061347",
            "telephone_number": "330-379-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "SYLVIA",
        "middle_name": "MALCMACHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30017102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0503691",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.