Active NPI
Northeast Ohio Neighborhood Health Services, Inc.
- Dental Clinic/Center
- East Cleveland, OH
National Provider Identifier
1477097061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.
- Practice address
- 15320 Euclid Ave
East Cleveland, OH 44112-2806 - Phone
- (216) 231-7700
- Fax
- (216) 231-3828
- NPI assigned
- Dec 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Willie F Austin Sr.
- Title
- President & Ceo
- Phone
- (216) 231-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
15320 Euclid Ave
East Cleveland, OH 44112-2806
Mailing address
4800 Payne Avenue
Cleveland, OH 44103-2443
Phone (216) 231-7700
Other practice location 1
4269 Pearl Rd
Cleveland, OH 44109-4234
Phone (216) 231-7700 ext. 1175
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559865600000",
"number": "1477097061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 PAYNE AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441032443",
"telephone_number": "216-231-7700",
"fax_number": "216-231-3828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15320 EUCLID AVE",
"city": "EAST CLEVELAND",
"state": "OH",
"postal_code": "441122806",
"telephone_number": "216-231-7700",
"fax_number": "216-231-3828"
}
],
"practiceLocations": [
{
"address_1": "4269 Pearl Rd",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441094234",
"country_code": "US",
"telephone_number": "216-231-7700 x1175",
"fax_number": "216-231-3828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-15",
"last_updated": "2019-06-07",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "WILLIE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "216-231-7700",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.