Organization Active NPI

Kidsmile, Inc. - Jason C. Barb, DDS, Inc.

  • Pediatric Dentistry
  • Avon, OH
National Provider Identifier
1992011548
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30.021894 Issued in OH
Legal business name
KIDSMILE, INC. - JASON C. BARB, DDS, INC.
Practice address
37701 Colorado Ave
Suite E
Avon, OH 44011-2840
Phone
(440) 934-2600
NPI assigned
Aug 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Rachel R Kreeger
Title
Office Manager
Phone
(440) 934-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 30.021894 OH Primary

Addresses

Primary practice location

37701 Colorado Ave
Suite E
Avon, OH 44011-2840

Mailing address

37701 Colorado Ave
Suite E
Avon, OH 44011-2840
Phone (440) 934-2600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1992011548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37701 COLORADO AVE",
            "address_2": "SUITE E",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112840",
            "telephone_number": "440-934-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37701 COLORADO AVE",
            "address_2": "SUITE E",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112840",
            "telephone_number": "440-934-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSMILE, INC. - JASON C. BARB, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "KREEGER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-934-2600"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.021894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.