Apollo General Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

APOLLO GENERAL DENTISTRY LLC

Practice address

5253 Wallings Rd
North Royalton, OH 44133-3135

Phone

(440) 582-2122

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Diana Alexandra Talpos

Title

Manager

Phone

(440) 582-2122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rana Ibrahim

  • General Practice Dentistry
  • Port Hueneme, CA
  • NPI 1710575246

  OH

  Medicare reassignment NPD
• Vladimir Petkovic, DDS

  • General Practice Dentistry
  • North Royalton, OH
  • NPI 1164561494
  NPD (past)

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1467279307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 WALLINGS RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333135",
            "telephone_number": "440-582-2122",
            "fax_number": "440-628-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5253 WALLINGS RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333135",
            "telephone_number": "440-582-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO GENERAL DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "TALPOS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-582-2122"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandar Andrich, O.D.
• Patricia Andrich, OTR/L
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• Anthony R Elias MD and Christine C Tam MD LLC
• Tony Apolczer
• Arden Courts of Parma Oh LLC
• Ashok Waman Argekar, M.D.
• Art of Chiropractic, LLC
• Athenian Assisted Living Center
• Derek Baker, ED.S

• Dental Clinic/Center in North Royalton, OH
• Providers in North Royalton, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.