Individual provider Active NPI

Rayan Taha, DDS

  • Student in an Organized Health Care Education/Training Program
  • Cleveland, OH
National Provider Identifier
1497528160
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
RES.004694 Issued in OH
Practice address
4071 Lee Rd
Suite 260
Cleveland, OH 44128
Phone
(216) 727-0234
NPI assigned
Nov 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RES.004694 OH Primary

Addresses

Primary practice location

4071 Lee Rd
Suite 260
Cleveland, OH 44128

Mailing address

4071 Lee Rd
Suite 260
Cleveland, OH 44128
Phone (216) 727-0234

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RES.004694OHMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1497528160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 LEE RD",
            "address_2": "SUITE 260",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44128",
            "telephone_number": "216-727-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 LEE RD",
            "address_2": "SUITE 260",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44128",
            "telephone_number": "216-727-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHA",
        "first_name": "RAYAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "RES.004694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.