Robert James Prijatel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16664 Issued in OH

Practice address

2794 Som Center Rd
#07
Willoughby Hills, OH 44094-8491

Phone

(440) 944-7745

Fax

(440) 944-7745

NPI assigned

Mar 17, 2008

Last updated

Mar 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1265603450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2794 SOM CENTER RD",
            "address_2": "#07",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440948491",
            "telephone_number": "440-944-7745",
            "fax_number": "440-944-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2794 SOM CENTER RD",
            "address_2": "#07",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440948491",
            "telephone_number": "440-944-7745",
            "fax_number": "440-944-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIJATEL",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Willoughby Hills, OH
• Providers in Willoughby Hills, 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 Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.