Richard L Fogel DDS Ms Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30-015746 Issued in OH

Legal business name

RICHARD L FOGEL DDS MS INC

Practice address

147 E Bridge St
Elyria, OH 44035-5218

Phone

(440) 323-2665

NPI assigned

Dec 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard L Fogel, DDSNPI 1154482123

Title

President

Phone

(440) 323-2665

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Richard L Fogel, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Elyria, OH
  • NPI 1154482123
  NPD (past) Authorized official
• Laurel Marshall, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Elyria, OH
  • NPI 1477191112
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104987163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 E BRIDGE ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355218",
            "telephone_number": "440-323-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 E BRIDGE ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355218",
            "telephone_number": "440-323-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L FOGEL DDS MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOGEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-323-2665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30-015746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha C. Reiser, CNP
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• Revive Health Primary & Urgent Care LLC
• Korenna Barto Reynard, LPC
• Martin L. Ribovich, M.D.
• Michelle Rena Richardson
• Katherine K Rickey
• Stephanie R Ricks, QMHS
• Hilary A Rieman, CT
• Danielle Renee Ries, LPCC

• Orthodontics and Dentofacial Orthopedics Dentistry in Elyria, OH
• Providers in Elyria, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.