NPIMap

Organization Active NPI

Chagrin Highlands Dental Group, Douglas E. Desatnik, D.D.S., LLC

  • Dental Clinic/Center
  • Beachwood, OH
National Provider Identifier
1144687880
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30023233 Issued in OH
Legal business name
CHAGRIN HIGHLANDS DENTAL GROUP, DOUGLAS E. DESATNIK, D.D.S., LLC
Practice address
22901 Millcreek Blvd
Suite #140
Beachwood, OH 44122-5728
Phone
(216) 464-9800
Fax
(216) 464-9833
NPI assigned
Jan 26, 2016
Last updated
Jan 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Dr. Douglas Desatnik, DDSNPI 1417269820
Title
President
Phone
(216) 464-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30023233 OH Primary

Addresses

Primary practice location

22901 Millcreek Blvd
Suite #140
Beachwood, OH 44122-5728

Mailing address

22901 Millcreek Blvd
Suite #140
Beachwood, OH 44122-5728
Phone (216) 464-9800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1144687880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22901 MILLCREEK BLVD",
            "address_2": "SUITE #140",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225728",
            "telephone_number": "216-464-9800",
            "fax_number": "216-464-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22901 MILLCREEK BLVD",
            "address_2": "SUITE #140",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225728",
            "telephone_number": "216-464-9800",
            "fax_number": "216-464-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAGRIN HIGHLANDS DENTAL GROUP, DOUGLAS E. DESATNIK, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "DESATNIK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-464-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30023233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.