Aspen Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.022871 Issued in OH

Legal business name

ASPEN DENTAL

Practice address

15500 Van Aken Blvd
Apt 205
Shaker Heights, OH 44120-5390

Phone

(216) 751-8767

Fax

(216) 661-8022

NPI assigned

Aug 20, 2008

Organization subpart

No

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

Authorized official

Name

Anna Stella

Title

Regional Manager

Phone

(315) 440-8203

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1194972273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15500 VAN AKEN BLVD",
            "address_2": "APT 205",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205390",
            "telephone_number": "216-751-8767",
            "fax_number": "216-661-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15500 VAN AKEN BLVD",
            "address_2": "APT 205",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205390",
            "telephone_number": "216-751-8767",
            "fax_number": "216-661-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "STELLA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "315-440-8203"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.022871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashad Asaad
• Fahimeh Asadi
• Habtom Yebio Asghede
• Stephanie Lynn Ash, LISW
• Joseph Askenazi, M.D.
• Ashton Atkins, PHARMD
• Romkje Attema, D.C.
• Myleah Avant
• Sa'Nico Avegnon, CDCA
• Althea Lynn Avery, LISW-S

• General Practice Dentistry in Shaker Heights, OH
• Providers in Shaker Heights, 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 Aug 20, 2008; 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.