Organization Active NPI

Ryan C Polman, DDS, LLC

  • Dental Clinic/Center
  • Broadview Heights, OH
National Provider Identifier
1285401570
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RYAN C POLMAN, DDS, LLC
Practice address
8193 Avery Rd Ste 100
Broadview Heights, OH 44147-1673
Phone
(440) 736-7019
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Dr. Ryan Polman, DDSNPI 1578185484
Title
Owner/Dentist
Phone
(440) 736-7019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8193 Avery Rd Ste 100
Broadview Heights, OH 44147-1673

Mailing address

35720 W Island Dr
Eastlake, OH 44095-1736

Other names 1

  • Polman Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8193 Avery Rd
Ste 100
Broadview Heights, OH 44147
Phone (440) 736-7019

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1285401570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35720 W ISLAND DR",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440951736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8193 AVERY RD STE 100",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441471673",
            "telephone_number": "440-736-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN C POLMAN, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "POLMAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "440-736-7019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polman Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broadview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.