Active NPI
Cwru Faculty Dental Practice
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cleveland, OH
National Provider Identifier
1245391424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 30-021785
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.