Organization Active NPI

David M. Sorboro, D.D.S. M.S. LLC

  • Periodontics
  • North Olmsted, OH
National Provider Identifier
1073902920
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
DAVID M. SORBORO, D.D.S. M.S. LLC
Practice address
26777 Lorain Rd
Suite #706
North Olmsted, OH 44070-3200
Phone
(440) 979-0055
Fax
(440) 979-0056
NPI assigned
Jan 15, 2015
Last updated
Jan 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
David M. Sorboro, D.D.S., M.S., LLC, D.D.S., M.S., LLC
Title
Owner
Phone
(440) 979-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X NU Primary

Addresses

Primary practice location

26777 Lorain Rd
Suite #706
North Olmsted, OH 44070-3200

Mailing address

26777 Lorain Rd
Suite #706
North Olmsted, OH 44070-3200
Phone (440) 979-0055

National Provider Directory

National Provider Directory

Locations

26777 Lorain Rd
Ste 706
North Olmsted, OH 44070
Phone (440) 979-0055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1073902920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD",
            "address_2": "SUITE #706",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703200",
            "telephone_number": "440-979-0055",
            "fax_number": "440-979-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD",
            "address_2": "SUITE #706",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703200",
            "telephone_number": "440-979-0055",
            "fax_number": "440-979-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. SORBORO, D.D.S. M.S. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "SORBORO, D.D.S., M.S., LLC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-979-0055",
        "authorized_official_credential": "D.D.S., M.S., LLC"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.