NPIMap

Organization Active NPI

Angel Dental Care

  • Dentist
  • Garfield Heights, OH
National Provider Identifier
1013266907
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.023074 Issued in OH
Legal business name
ANGEL DENTAL CARE
Practice address
9701 Vista Way
Garfield Heights, OH 44125
Phone
(216) 662-9900
Fax
(216) 662-7099
NPI assigned
Sep 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Saad Abuzakyah
Title
Member of LLC
Phone
(216) 825-5952

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 30.023074 OH Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 30.022649 OH
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 30.023152 OH

Addresses

Primary practice location

9701 Vista Way
Garfield Heights, OH 44125

Mailing address

9701 Vista Way
Garfield Heights, OH 44125
Phone (216) 662-9900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1013266907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 VISTA WAY",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "216-662-9900",
            "fax_number": "216-662-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 VISTA WAY",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "216-662-9900",
            "fax_number": "216-662-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "ABUZAKYAH",
        "authorized_official_first_name": "SAAD",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "216-825-5952"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023074",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022649",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.023152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.