Individual provider Active NPI

Alyssa Rassi, DMD

  • General Practice Dentistry
  • Stow, OH
National Provider Identifier
1053843474
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025349 Issued in OH
Practice address
4466 Darrow Rd Ste 23
Stow, OH 44224-1891
Phone
(330) 688-0888
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 30.025349 OH Primary

Addresses

Primary practice location

4466 Darrow Rd Ste 23
Stow, OH 44224-1891

Mailing address

4466 Darrow Rd Ste 23
Stow, OH 44224-1891
Phone (330) 688-0888

Other practice location 1

8435 Station St
Mentor, OH 44060-4924
Phone (440) 255-3111

Other practice location 2

525 E Market St
Akron, OH 44304
Phone (330) 375-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.025349OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lake Dental Arts Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1053843474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 DARROW RD STE 23",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241891",
            "telephone_number": "330-688-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 DARROW RD STE 23",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241891",
            "telephone_number": "330-688-0888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8435 Station St",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440604924",
            "country_code": "US",
            "telephone_number": "440-255-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 E Market St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "44304",
            "country_code": "US",
            "telephone_number": "330-375-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASSI",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.