Active NPI
Pavanpreet Kaur
- Dentist
- Cleveland, OH
National Provider Identifier
1215628607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.028152
- Practice address
- 4071 Lee Rd Ste 260
Cleveland, OH 44128-2173 - Phone
- (216) 727-0234
- NPI assigned
- May 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Dentist | 122300000X | 30.028152 | OH | Primary |
Addresses
Primary practice location
4071 Lee Rd Ste 260
Cleveland, OH 44128-2173
Mailing address
9376 Adam Run
Twinsburg, OH 44087-3812
Phone (216) 355-1155
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 |
|---|---|---|---|
| 30.028152 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1215628607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9376 ADAM RUN",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440873812",
"telephone_number": "216-355-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4071 LEE RD STE 260",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441282173",
"telephone_number": "216-727-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUR",
"first_name": "PAVANPREET",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-16",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.028152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.