NPIMap

Organization Active NPI

Streem Resnick Tetelman & Young DDS Inc

  • Dentist
  • Lyndhurst, OH
National Provider Identifier
1144396169
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16334 Issued in OH
Legal business name
STREEM RESNICK TETELMAN & YOUNG DDS INC
Practice address
29001 Cedar Road
Ste 660
Lyndhurst, OH 44124
Phone
(440) 461-8200
Fax
(440) 461-8343
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. Evan David Tetelman, DDSNPI 1922297480
Title
Vice President Treasurer Dentist
Phone
(440) 461-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 16334 OH Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 12987 OH
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 14141 OH
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 20794 OH

Addresses

Primary practice location

29001 Cedar Road
Ste 660
Lyndhurst, OH 44124

Mailing address

29001 Cedar Road
Suite 660
Lyndhurst, OH 44124
Phone (440) 461-8200

National Provider Directory

National Provider Directory

Locations

29001 Cedar Rd
Ste 660
Lyndhurst, OH 44124
Phone (440) 461-8200

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1144396169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29001 CEDAR ROAD",
            "address_2": "SUITE 660",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "440-461-8200",
            "fax_number": "440-461-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29001 CEDAR ROAD",
            "address_2": "STE 660",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "440-461-8200",
            "fax_number": "440-461-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREEM RESNICK TETELMAN & YOUNG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "TETELMAN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT TREASURER DENTIST",
        "authorized_official_telephone_number": "440-461-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "16334",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "12987",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "14141",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "20794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.