Active NPI
Matthew Jon Lemke, D.D.S.
- Periodontics
- Independence, OH
National Provider Identifier
1265720767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 30.023449
- Practice address
- 6505 Rockside Rd Ste 310
Independence, OH 44131-2386 - Phone
- (216) 642-9111
- NPI assigned
- Jul 18, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 30.023449 | OH | Primary |
Addresses
Primary practice location
6505 Rockside Rd Ste 310
Independence, OH 44131-2386
Mailing address
20187 Ellsworth Dr
Strongsville, OH 44149-6795
Other practice location 1
750 E Washington St Ste B2
Medina, OH 44256-2137
Phone (330) 725-6151
Other practice location 2
1706 Wooster
Wooster, OH 44691
Phone (330) 264-5851
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 |
|---|---|---|---|
| 30.023449 | OH | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgan & Lemke DDS Ms Inc | Periodontics | Current | Accepting new patients |
| Dr. John Solooki & Associates (Fairlawn), Inc. | General Practice | Past | Accepting new patients |
Locations
6505 Rockside Rd
Ste 310
Independence, OH 44131
Phone (216) 642-9111
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- Independence, OH
- NPI 1801419866
-
- General Practice Dentistry
- Fairlawn, OH
- NPI 1104916626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1265720767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20187 ELLSWORTH DR",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441496795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6505 ROCKSIDE RD STE 310",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312386",
"telephone_number": "216-642-9111"
}
],
"practiceLocations": [
{
"address_1": "750 E Washington St Ste B2",
"address_purpose": "LOCATION",
"city": "Medina",
"state": "OH",
"postal_code": "442562137",
"country_code": "US",
"telephone_number": "330-725-6151",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1706 Wooster",
"address_purpose": "LOCATION",
"city": "Wooster",
"state": "OH",
"postal_code": "44691",
"country_code": "US",
"telephone_number": "330-264-5851",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEMKE",
"first_name": "MATTHEW",
"middle_name": "JON",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-18",
"last_updated": "2024-03-22",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OH",
"license": "30.023449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.