NPIMap

Organization Active NPI

DMG-Chagrin Caputo, LLC

Doing business as Chagrin Falls Dental

  • General Practice Dentistry
  • Chagrin Falls, OH
National Provider Identifier
1376168948
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DMG-CHAGRIN CAPUTO, LLC
Doing business as
Chagrin Falls Dental
Practice address
45 E Washington St Ste 301
Chagrin Falls, OH 44022-3034
Phone
(440) 247-8641
NPI assigned
Jun 10, 2020
Organization subpart
Yes
Parent organization
DENTAL MANAGEMENT GROUP LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Russell J Caputo, DMDNPI 1225185663
Title
President
Phone
(412) 999-8533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

45 E Washington St Ste 301
Chagrin Falls, OH 44022-3034

Mailing address

4812 State Route 82
Mantua, OH 44255-9284
Phone (330) 357-8346

Other names 1

  • CHAGRIN FALLS DENTAL Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1376168948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 STATE ROUTE 82",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442559284",
            "telephone_number": "330-357-8346",
            "fax_number": "330-348-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E WASHINGTON ST STE 301",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223034",
            "telephone_number": "440-247-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMG-CHAGRIN CAPUTO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL MANAGEMENT GROUP LP",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-999-8533",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAGRIN FALLS DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.