Individual provider Active NPI

Genna Gelfand, DDS

  • Dentist
  • North Olmsted, OH
National Provider Identifier
1184504029
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.027874 Issued in OH
Practice address
4710 Great Northern Blvd
North Olmsted, OH 44070-3427
Phone
(440) 455-1787
NPI assigned
Sep 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.027874 OH Primary
Dentist 122300000X DS045400 PA

Addresses

Primary practice location

4710 Great Northern Blvd
North Olmsted, OH 44070-3427

Mailing address

14615 Jane Street
King City, ON L7B 1A3
CA

Other practice location 1

100 Penn St Ste C
Hanover, PA 17331-1956
Phone (717) 633-5874

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

LicenseStateTypeSpecialty
30.027874OHMDDentist
DS045400PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1184504029",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "14615 JANE STREET",
            "city": "KING CITY",
            "state": "ON",
            "postal_code": "L7B 1A3"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 GREAT NORTHERN BLVD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703427",
            "telephone_number": "440-455-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Penn St Ste C",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173311956",
            "country_code": "US",
            "telephone_number": "717-633-5874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELFAND",
        "first_name": "GENNA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-03",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027874",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS045400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.