Organization Active NPI

George Staley D.D.S. Inc.

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1265648240
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13988 Issued in OH
Legal business name
GEORGE STALEY D.D.S. INC.
Practice address
12808 Drexmore Rd
Cleveland, OH 44120-2158
Phone
(216) 921-8888
Fax
(216) 921-8889
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George Staley, DDS
Title
President
Phone
(216) 921-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 13988 OH Primary

Addresses

Primary practice location

12808 Drexmore Rd
Cleveland, OH 44120-2158

Mailing address

12808 Drexmore Rd
Cleveland, OH 44120-2158
Phone (216) 921-8888

Other names 1

  • Association for Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

12808 Drexmore Rd
Shaker Hts, OH 44120
Phone (216) 921-8888

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265648240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12808 DREXMORE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202158",
            "telephone_number": "216-921-8888",
            "fax_number": "216-921-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12808 DREXMORE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202158",
            "telephone_number": "216-921-8888",
            "fax_number": "216-921-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE STALEY D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STALEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-921-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "13988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Association for Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.