Organization Active NPI

Cleveland Dental Institute LLC

  • Dental Clinic/Center
  • Cleveland, OH
National Provider Identifier
1003276106
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30022649 Issued in OH
Legal business name
CLEVELAND DENTAL INSTITUTE LLC
Practice address
11201 Shaker Blvd
Cleveland, OH 44104-3869
Phone
(216) 368-7238
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Dr. Hussein Elrawy
Title
President
Phone
(440) 532-2243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30022649 OH Primary

Addresses

Primary practice location

11201 Shaker Blvd
Cleveland, OH 44104-3869

Mailing address

11201 Shaker Blvd
Cleveland, OH 44104-3869
Phone (216) 368-7238

National Provider Directory

National Provider Directory
Tax ID family
Cleveland Dental Institute LLC2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1003276106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 SHAKER BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043869",
            "telephone_number": "216-368-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 SHAKER BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043869",
            "telephone_number": "216-368-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND DENTAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "ELRAWY",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-532-2243",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30022649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 2, 2016; 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.