Tiara Enterprise Group, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

17970 Issued in OH

Legal business name

TIARA ENTERPRISE GROUP, INC

Practice address

12821 State Rd
North Royalton, OH 44133-3911

Phone

(440) 230-9401

NPI assigned

Jan 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. James Michael Pelagalli, D.M.D.NPI 1689932428

Title

Member

Phone

(440) 230-9401

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.

• James M Pelagalli, DMD

  • Dentist
  • N Royalton, OH
  • NPI 1689932428
  NPD (past) Authorized official

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1003147752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12821 STATE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333911",
            "telephone_number": "440-230-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12821 STATE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333911",
            "telephone_number": "440-230-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIARA ENTERPRISE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "PELAGALLI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "440-230-9401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "17970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in North Royalton, OH
• Providers in North Royalton, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.