Drake Road Dental Paul Mikhli DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DRAKE ROAD DENTAL PAUL MIKHLI DDS INC

Practice address

17601 W 130TH St Ste 1
North Royalton, OH 44133

Phone

(440) 582-0550

NPI assigned

Jul 27, 2018

Organization subpart

Yes

Parent organization

PAUL MIKHLI DDS INC.As reported in NPPES

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

Authorized official

Name

Paul MikhliNPI 1558372714

Title

Owner

Phone

(216) 831-5661

Specialties & licenses 1

Addresses

Part of

Paul Mikhli DDS Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Paul Mikhli DDS Inc.

  • Durable Medical Equipment & Medical Supplies
  • Beachwood, OH
  • NPI 1477004984
  NPPES parent name

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.

• Paul Mikhli

  • Dentist
  • Beachwood, OH
  • NPI 1558372714
  NPD Authorized official

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1083191449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17601 W 130TH ST STE 1",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441335966",
            "telephone_number": "440-582-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17601 W 130TH ST STE 1",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "44133",
            "telephone_number": "440-582-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAKE ROAD DENTAL PAUL MIKHLI DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAUL MIKHLI DDS INC.",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "MIKHLI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-831-5661"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Donoughe
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• Joshua Grant Eberts, LCDCIII, ICADC
• Emmanuel Economos, AT

• Dental Clinic/Center in North Royalton, OH
• Providers in North Royalton, OH by specialty
• Dental Clinic/Center in Ohio

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