Active NPI
Jorge Clemente Casellas, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fairlawn, OH
National Provider Identifier
1154458271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 30-022145
- Practice address
- 2890 Sand Run Pkwy
Fairlawn, OH 44333-2875 - Phone
- (330) 836-0135
- Fax
- (330) 836-3818
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 30-022145 | OH | Primary |
Addresses
Primary practice location
2890 Sand Run Pkwy
Fairlawn, OH 44333-2875
Mailing address
2890 Sand Run Pkwy
Fairlawn, OH 44333-2875
Phone (330) 836-0135
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-022145 | OH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casellas Orthodontics | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cuyahoga Falls, OH
- NPI 1437934296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1154458271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2890 SAND RUN PKWY",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443332875",
"telephone_number": "330-836-0135",
"fax_number": "330-836-3818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2890 SAND RUN PKWY",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443332875",
"telephone_number": "330-836-0135",
"fax_number": "330-836-3818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASELLAS",
"first_name": "JORGE",
"middle_name": "CLEMENTE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OH",
"license": "30-022145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.