Organization Active NPI

Cwru Faculty Dental Practice

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cleveland, OH
National Provider Identifier
1245391424
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30-021785 Issued in OH
Legal business name
CWRU FACULTY DENTAL PRACTICE
Practice address
2123 Abington Road
Cleveland, OH 44106-4905
Phone
(216) 368-0592
Fax
(216) 368-6310
NPI assigned
Dec 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Kathryn Davol Chapman, M.ED
Title
Administrator
Phone
(216) 368-0592

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 30-00150 OH
General Practice Dentistry 1223G0001X 30-18847 OH
General Practice Dentistry 1223G0001X 30-20215 OH
Periodontics 1223P0300X 30-022076 OH
Prosthodontics 1223P0700X 30-00194 OH
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 30-00149 OH
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 30-021785 OH Primary

Addresses

Primary practice location

2123 Abington Road
Cleveland, OH 44106-4905

Mailing address

10900 Euclid Avenue
School of Dental Medicine/Faculty Practice
Cleveland, OH 44106-4905
Phone (216) 368-0592

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1245391424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 EUCLID AVENUE",
            "address_2": "SCHOOL OF DENTAL MEDICINE/FACULTY PRACTICE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064905",
            "telephone_number": "216-368-0592",
            "fax_number": "216-368-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 ABINGTON ROAD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064905",
            "telephone_number": "216-368-0592",
            "fax_number": "216-368-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CWRU FACULTY DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "DAVOL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "216-368-0592",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30-00150",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-18847",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-20215",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30-022076",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "30-00194",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30-00149",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30-021785",
            "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 Sep 11, 2025; 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.