Individual provider Active NPI

Gabrielle Nicole Uyemura, DMD

  • Dentist
  • Cleveland, OH
National Provider Identifier
1093605248
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.028092 Issued in OH
Practice address
2916 Central Ave
Cleveland, OH 44115-3229
Phone
(216) 535-9100
NPI assigned
Jul 8, 2025
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.028092 OH Primary

Addresses

Primary practice location

2916 Central Ave
Cleveland, OH 44115-3229

Mailing address

2916 Central Ave
Cleveland, OH 44115-3229
Phone (216) 535-9100

Other practice location 1

1530 Saint Clair Ave NE
Cleveland, OH 44114-2004
Phone (216) 535-9100

Other names 1

  • Dr. Gabrielle Nicole Dean Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250919003206 OH Practitioner - Dentist 8820592934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1530 Saint Clair Ave NE
Cleveland, OH 44114-2004

1530 St Clair Ave
Cleveland, OH 44114-2004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Care Alliance CurrentSince Jul 15, 2025 Accepting new patients
Care Alliance CurrentSince Jul 15, 2025 Accepting new patients
Care Alliance Current Accepting new patients
Care Alliance Past Accepting new patients

Locations

1530 Saint Clair Ave NE
Cleveland, OH 44114
Phone (216) 535-9100

2916 Central Ave
Cleveland, OH 44115
Phone (216) 535-9100

6001 Woodland Ave
Cleveland, OH 44104
Phone (216) 431-2018

Interoperability endpoints

  • Direct secure messaging: guyemura813242@direct.ochin.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1093605248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 CENTRAL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153229",
            "telephone_number": "216-535-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 CENTRAL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153229",
            "telephone_number": "216-535-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 Saint Clair Ave NE",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441142004",
            "country_code": "US",
            "telephone_number": "216-535-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UYEMURA",
        "first_name": "GABRIELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.028092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "DEAN",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.