Organization Active NPI

Walid Thabet & Partners LLC

  • Dentist
  • Cleveland, OH
National Provider Identifier
1003200890
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
023527 Issued in OH
Legal business name
WALID THABET & PARTNERS LLC
Practice address
3370 W 117TH St
Cleveland, OH 44111-3605
Phone
(216) 688-0900
Fax
(216) 688-0937
NPI assigned
Mar 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Walid Thabet
Title
Owner
Phone
(210) 630-2224

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 023527 OH Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 018817 OH
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 024296 OH
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 022649 OH
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 023405 OH
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 023074 OH

Addresses

Primary practice location

3370 W 117TH St
Cleveland, OH 44111-3605

Mailing address

3370 W 117TH St
Cleveland, OH 44111-3605
Phone (216) 688-0900

Other identifiers 7

IdentifierTypeStateIssuer
2562043MedicaidOH
0071259MedicaidOH
2754818MedicaidOH
0105992MedicaidOH
3157542MedicaidOH
0058978MedicaidOH
0071286MedicaidOH

Other names 1

  • Angel Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Angel Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1003200890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113605",
            "telephone_number": "216-688-0900",
            "fax_number": "216-688-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113605",
            "telephone_number": "216-688-0900",
            "fax_number": "216-688-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALID THABET & PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "THABET",
        "authorized_official_first_name": "WALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-630-2224"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "023527",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "018817",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "024296",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "022649",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "023405",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "023074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2562043",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071259",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2754818",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105992",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3157542",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058978",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071286",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.