Modelo Dental Center Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODELO DENTAL CENTER INC.

Practice address

2012 W 25TH St Ste 720
Cleveland, OH 44113-4131

Phone

(216) 687-0062

Fax

(216) 687-9529

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sara Nazco, D.D. S.

Title

Dentist

Phone

(216) 687-0062

Specialties & licenses 1

Addresses

Tax ID family

Modelo Dental Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Modelo Dental Care, Inc.

  • General Practice Dentistry
  • Cleveland, OH
  • NPI 1255382800
  NPD tax ID

Locations

Practitioners 1

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

• Paula Andrea Ortiz, D.D.S

  • Periodontics
  • North Richland Hills, TX
  • NPI 1447431523
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1154529295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 W 25TH ST STE 720",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134131",
            "telephone_number": "216-687-0062",
            "fax_number": "216-687-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 W 25TH ST STE 720",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134131",
            "telephone_number": "216-687-0062",
            "fax_number": "216-687-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODELO DENTAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "NAZCO",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "216-687-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D. S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manaswi Modali
• Jamak Modaresi Esfeh, M.D.
• Seyed-Mahmoudreza Modareszadeh-Esfahani, DDS, MSD
• Alla Model, MD
• Modelo Dental Care, Inc.
• Anita Rae Modi
• Shreya Nalin Modi, D.M.D.
• Yasha S Modi, M.D.
• Anne Modic
• Mary Elizabeth Modic

• General Practice Dentistry in Cleveland, OH
• Providers in Cleveland, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.