Organization Active NPI

Lorain Family Dental

  • Dentist
  • Lorain, OH
National Provider Identifier
1386144707
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LORAIN FAMILY DENTAL
Doing business as
Lorain Family Dental
Practice address
4560 Oberlin Ave
Lorain, OH 44053-3195
Phone
(440) 434-2990
NPI assigned
Feb 13, 2018
Last updated
Feb 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Dr. Daman Simantiris, DMDNPI 1619238854
Title
Dentist Owner
Phone
(440) 434-2990

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

4560 Oberlin Ave
Lorain, OH 44053-3195

Mailing address

4466 Doral Dr
Avon, OH 44011-3744
Phone (440) 655-0045

Other names 1

  • Lorain Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4560 Oberlin Ave
Lorain, OH 44053
Phone (440) 282-7034

Practitioners & affiliated clinicians

Practitioners 1

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": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1386144707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 DORAL DR",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440113744",
            "telephone_number": "440-655-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533195",
            "telephone_number": "440-434-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORAIN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "SIMANTIRIS",
        "authorized_official_first_name": "DAMAN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "440-434-2990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lorain Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.