Juan Martin Palomo, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

71-0000149 Issued in OH

Practice address

2124 Cornell Rd
Dental School - Orthodontics
Cleveland, OH 44106-3804

Phone

(216) 368-2449

Fax

(216) 368-3204

NPI assigned

May 20, 2014

Last updated

May 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Case Dental Medicine Support Services, LLC.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cleveland, OH
  • NPI 1104059658
  Medicare reassignment
• University Oral and Facial Surgical Care, LLC

  • Specialist
  • Cleveland, OH
  • NPI 1164615134
  NPD (past)

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1508277930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 CORNELL RD",
            "address_2": "DENTAL SCHOOL - ORTHODONTICS",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441063804",
            "telephone_number": "216-368-2449",
            "fax_number": "216-368-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 CORNELL RD",
            "address_2": "DENTAL SCHOOL - ORTHODONTICS",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441063804",
            "telephone_number": "216-368-2449",
            "fax_number": "216-368-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMO",
        "first_name": "JUAN",
        "middle_name": "MARTIN",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "71-0000149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Palmisano, R.D.
• Darlene Palmore, CDCA 131661
• Bradley Thomas Palocko, DO
• Mara Lyn Palombaro
• Cheryl L Palombo, CRNA
• Gregory Andrew Palovich II, ACNPC-AG
• Garrett Pasco Paltao, MD
• Christine Lynn Palucki
• Chrislyn Palumbo, LISW-S
• Mary E Palumbo, FNP-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.