Maria Sophia Upesleja

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

51.013010 Issued in OH

Practice address

37701 Colorado Ave Ste E
Avon, OH 44011-2841

Phone

(440) 934-2600

Fax

(440) 934-2602

NPI assigned

Nov 5, 2024

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kidsmile, Inc. - Jason C. Barb, DDS, Inc.

  • Pediatric Dentistry
  • Avon, OH
  • NPI 1992011548
  NPD (past)
• Kidsmile, Inc. - John M. Venzel, D.M.D.

  • Pediatric Dentistry
  • Avon, OH
  • NPI 1447226998
  NPD (past)

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1326861592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37701 COLORADO AVE STE E",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112841",
            "telephone_number": "440-934-2600",
            "fax_number": "440-934-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37701 COLORADO AVE STE E",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112841",
            "telephone_number": "440-934-2600",
            "fax_number": "440-934-2602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16718 Pearl Rd",
            "address_purpose": "LOCATION",
            "city": "Strongsville",
            "state": "OH",
            "postal_code": "441366049",
            "country_code": "US",
            "telephone_number": "440-783-1822",
            "fax_number": "440-934-2602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPESLEJA",
        "first_name": "MARIA",
        "middle_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "OH",
            "license": "51.013010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chan Thanh Van Tran, OD
• Lindsey Trotter
• Jennifer Ui, MD
• Brandy Ungham, PHARMD
• University Primary Care Practices, Inc.
• David Jason Uth, OTR/L
• Gabrielle Valco, OTR/L
• Kayla M Vallee, M.ED., LPCC
• Janel D Vansickle, RN
• Hugo Vargas

• Dental Assistant in Avon, OH
• Providers in Avon, OH by specialty
• Dental Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.