Hudepohl Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HUDEPOHL FAMILY DENTISTRY LLC

Practice address

812 E 185TH St
Cleveland, OH 44119-2702

Phone

(216) 481-9900

Fax

(216) 481-8779

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Scott Hudepohl, DDSNPI 1003159385

Title

Owner

Phone

(216) 481-9900

Specialties & licenses 1

Addresses

Other names 1

• Hudepohl Kozan Dentistry Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Jerome Hudepohl, D.D.S.

  • Dentist
  • Cleveland, OH
  • NPI 1003159385
  NPD Authorized official
• Elizabeth Anne Kozan, DDS

  • General Practice Dentistry
  • Cleveland, OH
  • NPI 1609921733
  NPD (past)
• Richard J Kozan, DDS

  • General Practice Dentistry
  • Cleveland, OH
  • NPI 1366598401
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1942891981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 E 185TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441192702",
            "telephone_number": "216-481-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 E 185TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441192702",
            "telephone_number": "216-481-9900",
            "fax_number": "216-481-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDEPOHL FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "HUDEPOHL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-481-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudepohl Kozan Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hudec Dental Center of Middleburg Heights, Inc.
• Brian J Hudec, DMD
• David E Hudec, DDS
• John A Hudec, DDS
• Justin Hudecek
• Scott Jerome Hudepohl, D.D.S.
• Briana Hudgins
• Norris Hudnall
• Paul Hudock, MD
• Debra N Hudson Davis

• General Practice Dentistry in Cleveland, OH
• Providers in Cleveland, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.