NPIMap

Organization Active NPI

Firestone Family Dental Inc

  • General Practice Dentistry
  • Akron, OH
National Provider Identifier
1982827085
Registry record updated May 6, 2008
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30018302 Issued in OH
Legal business name
FIRESTONE FAMILY DENTAL INC
Practice address
275 E Waterloo Rd
Akron, OH 44319-1238
Phone
(330) 773-7282
Fax
(330) 773-7114
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Lynn Wellman, DDS
Title
Owner
Phone
(330) 773-7282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30018302 OH Primary

Addresses

Primary practice location

275 E Waterloo Rd
Akron, OH 44319-1238

Mailing address

275 E Waterloo Rd
Akron, OH 44319-1238
Phone (330) 773-7282

Other identifiers 1

IdentifierTypeStateIssuer
30018302OtherOHLICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1982827085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 E WATERLOO RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443191238",
            "telephone_number": "330-773-7282",
            "fax_number": "330-773-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E WATERLOO RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443191238",
            "telephone_number": "330-773-7282",
            "fax_number": "330-773-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRESTONE FAMILY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "WELLMAN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-773-7282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30018302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "30018302",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.