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Deactivated NPI 1053631820 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth John Novak , DDS

Dentist - General Practice • Chagrin Falls, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Novak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 03, 2010
NPI Deactivation Date November 20, 2020
Total Practice Duration ~10 Years of Practice (2010 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Novak, DDS was a registered Dentist - General Practice practicing in Chagrin Falls, OH. Throughout an active medical career spanning 10 years, Dr. Novak provided care at the practice location at 17747 CHILLICOTHE RD until profile deactivation on 2020-11-20.

Practice Location & Contact Primary Location

Practice Address

17747 Chillicothe Rd
Suite 206

Chagrin Falls, OH 440234739

Telephone 4405432110
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chagrin Falls, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
20 Specialists

Practicing in Chagrin Falls, OH (4287 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 19310

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Jaime Bishop , LSW, LPC, LPCC

Counselor - Professional

NPI 1023178050

Licensed Social Worker, Licensed Professional Counselor, Licensed Professional Clinical Counselor

Dr. Lawrence Oswick , DDS

Dentist - General Practice

NPI 1093708059

Doctor of Dental Surgery

NPI 1225048317

Doctor of Medicine (M.D.)

Dr. William Fikter , MD

Psychiatry & Neurology - Psychiatry

NPI 1366468720

Doctor of Medicine (M.D.)

NPI 1447249677

Doctor of Medicine (M.D.)

NPI 1679597074

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 20, 2020

Record deactivated on November 20, 2020

NPI Profile Active June 03, 2010

NPI status registered as active in NPPES database

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Updated Practice Location June 03, 2010

Registered at 17747 CHILLICOTHE RD, SUITE 206, CHAGRIN FALLS, OH 440234739 (Tel: 4405432110)

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Updated Business Mailing Address June 03, 2010

Registered at 17747 CHILLICOTHE RD, SUITE 206, CHAGRIN FALLS, OH 440234739 (Tel: 4405432110)

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Provider Name / Credentials Updated June 03, 2010

Recorded as KENNETH NOVAK, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2010

Dentist (License #19310 in OH)

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Initial NPI Registration & Enumeration June 03, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053631820
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2010
Last Update: June 03, 2010
Deactivation Date: November 20, 2020

Mailing Address

17747 Chillicothe Rd, Suite 206

Chagrin Falls, OH 440234739

Phone: 4405432110

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.