Individual provider Active NPI

Eman Fekry

  • Periodontics
  • Cleveland, OH
National Provider Identifier
1356971428
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
30027073 Issued in OH
Practice address
9601 Chester Ave
Cleveland, OH 44106-1666
Phone
(630) 765-1852
NPI assigned
Jan 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X RES.004173 OH
Periodontics 1223P0300X 30027073 OH Primary

Addresses

Primary practice location

9601 Chester Ave
Cleveland, OH 44106-1666

Mailing address

35715 Michael Dr
Solon, OH 44139-5673
Phone (630) 765-1852

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

LicenseStateTypeSpecialty
30027073OHMDPeriodontist
RES.004173OHMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodford Dentistry LLC PastSince Oct 1, 2023 Accepting new patients
Ak Dental Care LLC PastSince Nov 18, 2025 Accepting new patients
Perfect-a-Smile Dental Group PastSince Oct 1, 2023 Accepting new patients
Dr. Aico H. Watanabe, D.D.S. PastSince Jun 4, 2023 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1356971428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35715 MICHAEL DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441395673",
            "telephone_number": "630-765-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 CHESTER AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061666",
            "telephone_number": "630-765-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEKRY",
        "first_name": "EMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "RES.004173",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30027073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

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