NPIMap

Organization Active NPI

Mertes Akron Pediatric Dentistry

  • Pediatric Dentistry
  • Hudson, OH
National Provider Identifier
1982867149
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3021515 Issued in OH
Legal business name
MERTES AKRON PEDIATRIC DENTISTRY
Practice address
5655 Hudson Dr Ste 300
Ste 300
Hudson, OH 44236-4454
Phone
(330) 761-3430
Fax
(330) 655-5435
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Dr. Gregory C Mertes, DMDNPI 1386830636
Title
President
Phone
(330) 655-5437

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 3021515 OH Primary

Addresses

Primary practice location

5655 Hudson Dr Ste 300
Ste 300
Hudson, OH 44236-4454

Mailing address

5655 Hudson Drive
Suite 300
Hudson, OH 44236
Phone (330) 655-5437

Other identifiers 1

IdentifierTypeStateIssuer
2482764MedicaidOH

National Provider Directory

National Provider Directory

Locations

5655 Hudson Dr
Ste 300
Hudson, OH 44236
Phone (330) 655-5437

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1982867149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DRIVE",
            "address_2": "SUITE 300",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44236",
            "telephone_number": "330-655-5437",
            "fax_number": "330-655-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DR STE 300",
            "address_2": "STE 300",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364454",
            "telephone_number": "330-761-3430",
            "fax_number": "330-655-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERTES AKRON PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "MERTES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-655-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "3021515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2482764",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.