Individual provider Active NPI

Irina A. Yarovitsky, DMD

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1952435778
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30022341 Issued in OH
Practice address
8191 Broadview Rd
Hudec Dental
Cleveland, OH 44147-1661
Phone
(216) 485-5788
NPI assigned
Mar 15, 2007
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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 30022341 OH Primary

Addresses

Primary practice location

8191 Broadview Rd
Hudec Dental
Cleveland, OH 44147-1661

Mailing address

314B E Legend CT
Highland HTS, OH 44143-3678
Phone (440) 364-3248

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
I20151201002816 OH Order and Referring Only - DentistPractitioner - Dentist 2163722802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John a Hudec Strongsville Dental Associates Inc General Practice Past Accepting new patients
John a Hudec Puritas Dental Associates Inc General Practice Past Accepting new patients
John a Hudec DDS Specialty Services Inc General Practice Past Accepting new patients
Hudec Dental Associates, Inc. General Practice Past Accepting new patients
Hudec Dental Center of Mentor, Inc. General Practice Past Accepting new patients
Hudec Dental Center of Canton, 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 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1952435778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314B E LEGEND CT",
            "city": "HIGHLAND HTS",
            "state": "OH",
            "postal_code": "441433678",
            "telephone_number": "440-364-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 BROADVIEW RD",
            "address_2": "HUDEC DENTAL",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441471661",
            "telephone_number": "216-485-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAROVITSKY",
        "first_name": "IRINA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.