Active NPI
Nada Alwanni, DMD, MS
- Oral and Maxillofacial Surgery (Dentist)
- Cleveland, OH
National Provider Identifier
1124472139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- RES.3665
- Practice address
- 2124 Cornell Rd
Cleveland, OH 44106-3804 - Phone
- (216) 368-3102
- NPI assigned
- Apr 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | RES.3665 | OH | Primary |
Addresses
Primary practice location
2124 Cornell Rd
Cleveland, OH 44106-3804
Mailing address
9180 Ledgemont Dr
Broadview Heights, OH 44147-4027
Phone (717) 829-6739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RES.3665 | OH | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1124472139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9180 LEDGEMONT DR",
"city": "BROADVIEW HEIGHTS",
"state": "OH",
"postal_code": "441474027",
"telephone_number": "717-829-6739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 CORNELL RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441063804",
"telephone_number": "216-368-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALWANNI",
"first_name": "NADA",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-15",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "OH",
"license": "RES.3665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 15, 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.