NPIMap

Organization Active NPI

Anastasia P Theodorou LLC

  • General Practice Dentistry
  • Westlake, OH
National Provider Identifier
1356657902
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
022436 Issued in OH
Legal business name
ANASTASIA P THEODOROU LLC
Doing business as
Westlake Dental Associates
Practice address
26910 Center Ridge Rd
Westlake, OH 44145-4043
Phone
(440) 835-8999
Fax
(440) 835-9290
NPI assigned
Aug 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Anastasia P Theodorou, D.M.D.
Title
Owner/Dentist
Phone
(440) 835-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 022436 OH Primary

Addresses

Primary practice location

26910 Center Ridge Rd
Westlake, OH 44145-4043

Mailing address

26910 Center Ridge Rd
Westlake, OH 44145-4043
Phone (440) 835-8999

Other names 1

  • Westlake Dental Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1356657902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26910 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454043",
            "telephone_number": "440-835-8999",
            "fax_number": "440-835-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26910 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454043",
            "telephone_number": "440-835-8999",
            "fax_number": "440-835-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANASTASIA P THEODOROU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "THEODOROU",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "440-835-8999",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "022436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.