Organization Active NPI

Rooted Dental Studio

  • Dental Clinic/Center
  • Elyria, OH
National Provider Identifier
1295682698
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROOTED DENTAL STUDIO
Practice address
252 E Broad St
Elyria, OH 44035-6433
Phone
(440) 822-3456
NPI assigned
Mar 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Dr. Puja Kedia, DDSNPI 1962070409
Title
Owner
Phone
(440) 590-2179

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

252 E Broad St
Elyria, OH 44035-6433

Mailing address

5480 Jacqueline LN
North Olmsted, OH 44070-3888
Phone (440) 590-2179

National Provider Directory

National Provider Directory

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": "1773360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1295682698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 JACQUELINE LN",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703888",
            "telephone_number": "440-590-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356433",
            "telephone_number": "440-822-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "KEDIA",
        "authorized_official_first_name": "PUJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-590-2179",
        "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": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.