Organization Active NPI

Meckler Dental Providers (Parma), Inc.

Doing business as DentalWorks of Parma

  • General Practice Dentistry
  • Parma, OH
National Provider Identifier
1174980189
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MECKLER DENTAL PROVIDERS (PARMA), INC.
Doing business as
DentalWorks of Parma
Practice address
1054 W Pleasant Valley Rd
Parma, OH 44134-6709
Phone
(440) 842-6876
Fax
(216) 584-1087
NPI assigned
Jan 21, 2016
Last updated
Mar 20, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTALONE PARTNERS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Rachel Nittinger
Title
Manager Credentialing
Phone
(972) 755-0816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1054 W Pleasant Valley Rd
Parma, OH 44134-6709

Mailing address

7160 Dallas Pkwy Ste 400
Plano, TX 75024-7111

Other names 1

  • DentalWorks of Parma Doing business as

National Provider Directory

National Provider Directory

Locations

1054 W Pleasant Valley Rd
Parma, OH 44134
Phone (440) 842-6876

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1174980189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 DALLAS PKWY STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 W PLEASANT VALLEY RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346709",
            "telephone_number": "440-842-6876",
            "fax_number": "216-584-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLER DENTAL PROVIDERS (PARMA), INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTALONE PARTNERS, INC",
        "enumeration_date": "2016-01-21",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "NITTINGER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MANAGER CREDENTIALING",
        "authorized_official_telephone_number": "972-755-0816"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DentalWorks of Parma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.