Active NPI
Jean Marie Iannadrea, D.D.S.
- General Practice Dentistry
- Chardon, OH
National Provider Identifier
1962433979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18906
- Practice address
- 200 Center St
Suite 3
Chardon, OH 44024-1122 - Phone
- (440) 975-0800
- Fax
- (440) 285-2323
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18906 | OH | Primary |
Addresses
Primary practice location
200 Center St
Suite 3
Chardon, OH 44024-1122
Mailing address
200 Center St
Suite 3
Chardon, OH 44024-1122
Phone (440) 975-0800
Other names 1
- Ms. Patricia B. Urbaniak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18906 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Ohio Universities Colleges of Medicine and Pharmacy | Current | Accepting new patients | |
| Northeast Ohio Medical University College of Dentistry | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Rootstown, OH
- NPI 1386579969
-
- Local Education Agency (LEA)
- Rootstown, OH
- NPI 1639235567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962433979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CENTER ST",
"address_2": "SUITE 3",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241122",
"telephone_number": "440-975-0800",
"fax_number": "440-285-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CENTER ST",
"address_2": "SUITE 3",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241122",
"telephone_number": "440-975-0800",
"fax_number": "440-285-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNADREA",
"first_name": "JEAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "18906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "URBANIAK",
"middle_name": "B.",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.