Cresta Dental Implants LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

CRESTA DENTAL IMPLANTS LLC

Practice address

7081 Pearl Road
Middleburg Heights, OH 44130-8361

Phone

(216) 282-1491

Fax

(216) 920-9592

NPI assigned

Jul 28, 2017

Organization subpart

No

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

Authorized official

Name

Gail Sandish

Title

Admin Asst

Phone

(216) 485-5788

Specialties & licenses 5

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Nader Nessim Amin, B.D.S., M.S.D.

  • Periodontics
  • Middleburg Heights, OH
  • NPI 1437551603
  NPD
• Martina Waguih Naguib Gerges

  • Endodontics
  • Middleburg Heights, OH
  • NPI 1912385501
  NPD (past)

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1114441417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 W SNOWVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413285",
            "telephone_number": "216-485-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7081 PEARL ROAD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308361",
            "telephone_number": "216-282-1491",
            "fax_number": "216-920-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTA DENTAL IMPLANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "SANDISH",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "ADMIN ASST",
        "authorized_official_telephone_number": "216-485-5788"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30-025207",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30-025210",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-015265",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30-025209",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximino Cortes
• John Louis Coughlin, MD
• Philip Coverdale, MD
• Samantha Cox
• Emily Craft, COTA/L
• Cultivate Counseling Services
• William Cuneo
• Nicole A Cuttaia, OTR
• Cuyahoga County Board of Developmental Disabilities
• Kathleen Marie D'Fantis, LPC, MT-BC

• Periodontics in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.