Active NPI
Barry Diamond, DDS
- General Practice Dentistry
- Beachwood, OH
National Provider Identifier
1245907781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.026629
- Practice address
- 3690 Orange PL Ste 460
Beachwood, OH 44122-4438 - Phone
- (216) 371-4777
- NPI assigned
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.026629 | OH | Primary |
Addresses
Primary practice location
3690 Orange PL Ste 460
Beachwood, OH 44122-4438
Mailing address
4457 Groveland Rd
University Heights, OH 44118-3920
Phone (216) 288-5357
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 |
|---|---|---|---|
| 30.026629 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1245907781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4457 GROVELAND RD",
"city": "UNIVERSITY HEIGHTS",
"state": "OH",
"postal_code": "441183920",
"telephone_number": "216-288-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3690 ORANGE PL STE 460",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224438",
"telephone_number": "216-371-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "BARRY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-24",
"last_updated": "2021-10-29",
"certification_date": "2021-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.026629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.