Individual provider Active NPI

Jay H Goldstein, D.D.S.

  • General Practice Dentistry
  • Beachwood, OH
National Provider Identifier
1487799896
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14835 Issued in OH
Practice address
3690 Orange PL Ste 560
Beachwood, OH 44122-4466
Phone
(216) 470-5738
Fax
(216) 274-6386
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14835 OH Primary

Addresses

Primary practice location

3690 Orange PL Ste 560
Beachwood, OH 44122-4466

Mailing address

3690 Orange PL Ste 560
Beachwood, OH 44122-4466
Phone (216) 470-5738

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
I20250317001580 OH Practitioner - Dentist 3476781014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Case Western University School of Dental Medicine, 1975
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3690 Orange PL
Suite 560
Beachwood, OH 44122-4466
Phone (216) 470-5738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jay H. Goldstein DDS Inc. General Practice CurrentSince Feb 22, 1982 Accepting new patients

Locations

3690 Orange Pl
Ste 150
Beachwood, OH 44122
Phone (216) 464-1700

3690 Orange Pl
Ste 560
Beachwood, OH 44122
Phone (216) 470-5738

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1487799896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 560",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224466",
            "telephone_number": "216-470-5738",
            "fax_number": "216-274-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 560",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224466",
            "telephone_number": "216-470-5738",
            "fax_number": "216-274-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "JAY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "14835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.