Elias Kanneh

Primary specialty

DentistTaxonomy code 122300000X

License

30.027159 Issued in OH

Practice address

3540 Westgate
Fairview Park, OH 44126-1300

Phone

(440) 652-8830

NPI assigned

May 15, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1407546278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2474 COLUMBIA RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454107",
            "telephone_number": "216-571-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WESTGATE",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261300",
            "telephone_number": "440-652-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNEH",
        "first_name": "ELIAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journey Community Church (Joshua Tree Behavioral Health Center)
• Mangal Singh Kalsi
• Cheryl Ann Kalvitz, LPN
• Giuseppina Kalvitz
• Robin C Kananen
• Elizabeth Kaple, LSW
• Matthew J Katz, LMT
• Keith J. Alexander, D.D.S., Inc.
• Sarah Jane Kenney, LISW
• Edward J Kenny, CRNA

• Dentist in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.