NPIMap

Organization Active NPI

Dental Professionals Cleveland - Nouneh, Inc.

  • General Practice Dentistry
  • Medina, OH
National Provider Identifier
1003387531
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL PROFESSIONALS CLEVELAND - NOUNEH, INC.
Practice address
4184 Pearl Rd # 103
Medina, OH 44256-7648
Phone
(330) 236-0677
NPI assigned
Dec 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Beatriz Hernandez
Title
Supervisor
Phone
(714) 578-6591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4184 Pearl Rd # 103
Medina, OH 44256-7648

Mailing address

100 Spectrum Center Dr Ste 100
Irvine, CA 92618-4963
Phone (714) 578-6591

Other names 1

  • Bright Now Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Professionals Cleveland-Nouneh Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

4184 Pearl Rd
Ste 103
Medina, OH 44256
Phone (330) 236-0677

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1003387531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPECTRUM CENTER DR STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184963",
            "telephone_number": "714-578-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4184 PEARL RD # 103",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567648",
            "telephone_number": "330-236-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS CLEVELAND - NOUNEH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "714-578-6591"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Now Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.