Modelo Dental Care, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3019317 Issued in OH

Legal business name

MODELO DENTAL CARE, INC.

Practice address

2012 W 25TH St
#720
Cleveland, OH 44113-4135

Phone

(216) 687-0062

Fax

(216) 687-9529

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Sara Nazco

Title

DDS

Phone

(216) 687-0062

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Modelo Dental Care, Inc. Former legal business name

Tax ID family

Modelo Dental Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Modelo Dental Center Inc.

  • General Practice Dentistry
  • Cleveland, OH
  • NPI 1154529295
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paula Andrea Ortiz, D.D.S

  • Periodontics
  • North Richland Hills, TX
  • NPI 1447431523
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1255382800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 W 25TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134131",
            "telephone_number": "216-687-0062",
            "fax_number": "216-687-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 W 25TH ST",
            "address_2": "#720",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134135",
            "telephone_number": "216-687-0062",
            "fax_number": "216-687-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODELO DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "NAZCO",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "216-687-0062"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "3019317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0918476",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modelo Dental Care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nikhil Modak
• Manaswi Modali
• Jamak Modaresi Esfeh, M.D.
• Seyed-Mahmoudreza Modareszadeh-Esfahani, DDS, MSD
• Alla Model, MD
• Modelo Dental Center Inc.
• Anita Rae Modi
• Shreya Nalin Modi, D.M.D.
• Yasha S Modi, M.D.
• Anne Modic

• General Practice Dentistry in Cleveland, OH
• Providers in Cleveland, 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 Oct 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.