Individual provider Active NPI

Yvonne Bilo Kinkopf, DDS

  • Dentist
  • Stow, OH
National Provider Identifier
1972930246
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30041264 Issued in OH
Practice address
3102 Graham Rd
Stow, OH 44224
Phone
(330) 673-6830
NPI assigned
Oct 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30041264 OH Primary

Addresses

Primary practice location

3102 Graham Rd
Stow, OH 44224

Mailing address

3102 Graham Rd
Stow, OH 44224-3643
Phone (330) 673-6830

Other practice location 1

5763 Mayfield Rd
Mayfield Heights, OH 44124-2919
Phone (440) 449-2440

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

LicenseStateTypeSpecialty
30041264OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Palladino DDS & Associates, Inc. Past Accepting new patients
Yvonne B Kinkopf DDS Inc Past 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, 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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1972930246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 GRAHAM RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442243643",
            "telephone_number": "330-673-6830",
            "fax_number": "330-673-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 GRAHAM RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-673-6830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5763 Mayfield Rd",
            "address_purpose": "LOCATION",
            "city": "Mayfield Heights",
            "state": "OH",
            "postal_code": "441242919",
            "country_code": "US",
            "telephone_number": "440-449-2440",
            "fax_number": "440-449-0605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINKOPF",
        "first_name": "YVONNE",
        "middle_name": "BILO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30041264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.