Organization Active NPI

Cleveland Heights Dental, Jeffrey Rosenthal, LLC

  • Public Health Dentistry
  • Cleveland, OH
National Provider Identifier
1114376845
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
30015925 Issued in OH
Legal business name
CLEVELAND HEIGHTS DENTAL, JEFFREY ROSENTHAL, LLC
Practice address
2460 Fairmount Blvd
Cleveland, OH 44106-3171
Phone
(216) 791-5191
Fax
(216) 231-4933
NPI assigned
Jun 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Amy Dinardo
Title
Office Manager
Phone
(216) 791-5191

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0001X 30015925 OH Primary
Public Health DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0001X 20624 OH

Addresses

Primary practice location

2460 Fairmount Blvd
Cleveland, OH 44106-3171

Mailing address

2460 Fairmount Blvd
Suite 218
Cleveland, OH 44106-3171
Phone (216) 791-5191

Other names 1

  • Cleveland Heights Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2460 Fairmount Blvd
Cleveland Hts, OH 44106
Phone (216) 650-5811

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1114376845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 FAIRMOUNT BLVD",
            "address_2": "SUITE 218",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441063171",
            "telephone_number": "216-791-5191",
            "fax_number": "216-231-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 FAIRMOUNT BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441063171",
            "telephone_number": "216-791-5191",
            "fax_number": "216-231-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND HEIGHTS DENTAL, JEFFREY ROSENTHAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "DINARDO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "216-791-5191"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "OH",
            "license": "30015925",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "OH",
            "license": "20624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Heights Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.