NPIMap

Organization Active NPI

Medina Endodontic Associates, Inc.

  • Endodontics
  • Medina, OH
National Provider Identifier
1952483711
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
MEDINA ENDODONTIC ASSOCIATES, INC.
Practice address
3637 Medina Rd Ste 215
Medina, OH 44256-8154
Phone
(330) 722-3636
Fax
(330) 722-4171
NPI assigned
Oct 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dawn M. Ondrik, DDS, MSDNPI 1649351511
Title
Vice President
Phone
(330) 722-3636

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
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

3637 Medina Rd Ste 215
Medina, OH 44256-8154

Mailing address

3637 Medina Rd Ste 215
Medina, OH 44256-8154
Phone (330) 722-3636

National Provider Directory

National Provider Directory

Locations

3637 Medina Rd
Ste 215
Medina, OH 44256
Phone (330) 722-3636

Practitioners & affiliated clinicians

Practitioners 3

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952483711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD STE 215",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568154",
            "telephone_number": "330-722-3636",
            "fax_number": "330-722-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD STE 215",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568154",
            "telephone_number": "330-722-3636",
            "fax_number": "330-722-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA ENDODONTIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ONDRIK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "330-722-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.