Individual provider Active NPI

Neena Anjulie Baghaie, DMD

  • General Practice Dentistry
  • Euclid, OH
National Provider Identifier
1457855082
Registry record updated Dec 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025701 Issued in OH
Practice address
26000 Lake Shore Blvd
Euclid, OH 44132
Phone
(216) 289-0890
NPI assigned
Mar 20, 2018
Last updated
Dec 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.025701 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

26000 Lake Shore Blvd
Euclid, OH 44132

Mailing address

5046 Turney Rd
Garfield Heights, OH 44125-2503
Phone (216) 662-7700

Other practice location 1

75 Arch St Ste 303
Akron, OH 44304
Phone (330) 375-6262

Other practice location 2

26000 Lake Shore Blvd
Euclid, OH 44132
Phone (216) 289-0890

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575158400000",
    "number": "1457855082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 TURNEY RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252503",
            "telephone_number": "216-662-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26000 LAKE SHORE BLVD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "44132",
            "telephone_number": "216-289-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Arch St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "44304",
            "country_code": "US",
            "telephone_number": "330-375-6262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26000 Lake Shore Blvd",
            "address_purpose": "LOCATION",
            "city": "Euclid",
            "state": "OH",
            "postal_code": "44132",
            "country_code": "US",
            "telephone_number": "216-289-0890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGHAIE",
        "first_name": "NEENA",
        "middle_name": "ANJULIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2019-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025701",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; 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.