Organization Active NPI

Noble Dental Clinic

  • General Practice Dentistry
  • East Cleveland, OH
National Provider Identifier
1083058549
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-023305 Issued in OH
Legal business name
NOBLE DENTAL CLINIC
Practice address
2140 Noble Rd
East Cleveland, OH 44112-1736
Phone
(216) 268-3060
Fax
(216) 269-5553
NPI assigned
Apr 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Dr. Sari Alqsous, DDS
Title
Dr
Phone
(216) 268-3060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 30-023305 OH Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 30-023134 OH

Addresses

Primary practice location

2140 Noble Rd
East Cleveland, OH 44112-1736

Mailing address

2140 Noble Rd
East Cleveland, OH 44112-1736
Phone (216) 268-5553

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1083058549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 NOBLE RD",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441121736",
            "telephone_number": "216-268-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 NOBLE RD",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441121736",
            "telephone_number": "216-268-3060",
            "fax_number": "216-269-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "ALQSOUS",
        "authorized_official_first_name": "SARI",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "216-268-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023305",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.