Joseph a. Koberlein DDS, Ms, Inc.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

18241 Issued in OH

Legal business name

JOSEPH A. KOBERLEIN DDS, MS, INC.

Practice address

3869 Darrow Rd
Suite 201
Stow, OH 44224-2691

Phone

(330) 688-9922

Fax

(330) 688-1314

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph A. Koberlein, DDSNPI 1487829487

Title

President

Phone

(330) 688-9922

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Joseph A Koberlein, D.D.S.

  • Periodontics
  • Stow, OH
  • NPI 1487829487
  NPD (past) Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992811921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 DARROW RD",
            "address_2": "SUITE 201",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242691",
            "telephone_number": "330-688-9922",
            "fax_number": "330-688-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 DARROW RD",
            "address_2": "SUITE 201",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242691",
            "telephone_number": "330-688-9922",
            "fax_number": "330-688-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A. KOBERLEIN DDS, MS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOBERLEIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-688-9922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "18241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna M Johnson, MA CCC-A
• Michael Bryan Johnson, LPCC
• Teneika Johnson
• Katie Jones, COTA/L
• Sydney Jordan, CT
• Mukhsina Jumaboeva
• Lisa Marie Jundi, PT
• Florica Jura, RN
• Kristen Kalb, OTR/L
• Kyle Kamlowsky

• Periodontics in Stow, OH
• Providers in Stow, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.