Aldyn Jerome Muthra, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30.024034 Issued in OH

Practice address

23071 Emery Rd
Cleveland, OH 44128-5134

Phone

(216) 591-1925

NPI assigned

Jul 10, 2012

Last updated

May 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aldyn.muthra.p1@direct.neon.nextgenshare.com

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.

• Ohio North East Health Systems, Inc.

  • Community Health Clinic/Center
  • Youngstown, OH
  • NPI 1700917267
  Medicare reassignment NPD
• Aldyn J Muthra DDS LLC

  • Dental Clinic/Center
  • Cleveland, OH
  • NPI 1821925728
  NPD Authorized official
• Ohio North East Health Systems Inc

  dba Northside Dental Center

  • Federally Qualified Health Center (FQHC)
  • Youngstown, OH
  • NPI 1699236059

  Dentist

  NPD
• Northeast Ohio Neighborhood Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Cleveland, OH
  • NPI 1033142989
  NPD (past)
• Northeast Ohio Neighborhood Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1114275310
  NPD (past)
• Northeast Ohio Neighborhood Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1851302665
  NPD (past)

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1114282704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23071 EMERY RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285134",
            "telephone_number": "216-591-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23071 EMERY RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285134",
            "telephone_number": "216-591-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHRA",
        "first_name": "ALDYN",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moneeb Sefeldawla Mohamed Mustafa
• Rami Rabee Meligi Mustafa, MD, PH.D.
• Samer Harbi Mustafa, QMHS, CMS
• Stephanie Musto, CNS
• Chandrasekar Muthiah
• Mario Anthony Muttillo, PHARMD
• Brianna Isabelle Mutz, PA-C
• Daniel Adam Mutz, PA-C, ATC
• Emilie Mutoba Muvundamina, PHARMD
• Suzanne Muyshondt, M.D.

• Dentist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.