DDC ENDODONTICS LLC (NPI# 1023532421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023532421 |
| Entity Type | Organization |
| Organization Name | DDC ENDODONTICS LLC |
| Practice Address |
23250 Mercantile Rd Ste 110 Beachwood OH 44122-5928 |
| Mailing Address |
6700 W Snowville Rd Brecksville OH 44141-3285 |
| Practice Telephone | 2164855788 |
| Mailing Telephone | 2164855788 |
| Mailing Fax Number | 2164851257 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-08-04 |
| Authorized Official Name | DR. JOHN A. HUDEC (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2164855788 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
30-025207 | OH | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
30-015265 | OH | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
30-025210 | OH | Dental Providers |
| Street Address |
23250 MERCANTILE RD STE 110 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689192627 | Michelle C Jordan-gonzalez | Dentist | 23250 Mercantile Rd Ste 110, Beachwood, OH 44122-5928 | 2017-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336619873 | Alvaro Rodriguez | Dentist | 26200 George Zeiger Dr Apt 303, Beachwood, OH 44122-7533 | 2018-11-27 |
| 1083005540 | Daisy N Stojanov | Dentist | 23250 Mercantile Rd Ste 110n, Beachwood, OH 44122-5928 | 2015-02-05 |
| 1437218963 | Andre Kevin Mickel | Dentist | 3609 Park East, Suite 407, Beachwood, OH 44122 | 2006-12-08 |
| 1457553372 | Najia Usman | Dentist | 3690 Orange Pl, Suite 520, Beachwood, OH 44122-4464 | 2007-06-04 |
| 1740495936 | Steven J. Katz | Dentist | 3690 Orange Pl, Suite 520, Beachwood, OH 44122-4464 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831745868 | Iman Attar | Dentist | 2828 Euclid Ave Apt 207, Cleveland, OH 44115-2470 | 2019-08-15 |
| 1609421684 | Columbus Endodontic Specialists | Dentist | 7334 E Broad St Ste C, Blacklick, OH 43004-9239 | 2019-08-06 |
| 1942725551 | Meckler Dental Providers, Inc. | Dentist | 3455 Center Rd, Brunswick, OH 44212-3688 | 2017-08-04 |
| 1912428228 | Ghaeth H Yassen | Dentist | 2124 Cornell Drive, Cwru School of Dental Medicine, Cleveland, OH 44106 | 2017-06-28 |
| 1518401108 | Lev, Berberich, Stabile, Direnzo Ltd | Dentist | 8740 E Market St, Warren, OH 44484-2324 | 2016-12-15 |
| 1003359258 | Paul F Siegel Dds Inc | Dentist | 9403 Kenwood Rd Ste B205, Blue Ash, OH 45242-6829 | 2016-11-21 |
| 1346796869 | Professional Dental Alliance Specialty, LLC | Dentist | 7131 Spring Meadows Dr W, Suite C, Holland, OH 43528-7939 | 2016-08-26 |
| 1669847463 | Magdy Beshay | Dentist | 1129 E Aurora Rd Ste 102, Macedonia, OH 44056-1988 | 2015-12-04 |
| 1215314240 | Beavercreek Endodontics- Emily Lammers Dds Ms Inc. | Dentist | 1555 Marsetta Dr, Beavercreek, OH 45432-2732 | 2015-04-28 |
| 1346660065 | Caroline Ghattas Ayoub | Dentist | 7131 Spring Meadows Dr W Ste C, Holland, OH 43528-7938 | 2014-04-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DDC ENDODONTICS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.