Individual provider Active NPI

Imad Nouneh, DDS, MS

  • Periodontics
  • Ashland, OH
National Provider Identifier
1396729299
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
20396 Issued in OH
Practice address
270 Sandusky St
Ashland, OH 44805-2033
Phone
(419) 281-4563
NPI assigned
Dec 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 20396 OH Primary

Addresses

Primary practice location

270 Sandusky St
Ashland, OH 44805-2033

Mailing address

3203 Royal Oak CT
Westlake, OH 44145-3770
Phone (440) 899-9981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150203001936 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5799000279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
20396OHMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Merit Dental of Ohio II - Nouneh, Inc. Current Accepting new patients

Organizations & group practices 1

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": "1133654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396729299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 ROYAL OAK CT",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453770",
            "telephone_number": "440-899-9981",
            "fax_number": "440-899-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SANDUSKY ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448052033",
            "telephone_number": "419-281-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUNEH",
        "first_name": "IMAD",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "20396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.