Shreya Nalin Modi, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30-023298 Issued in OH

Practice address

11100 Euclid Ave
RB&C Suite 1200
Cleveland, OH 44106-1716

Phone

(216) 844-3080

Fax

(216) 844-3086

NPI assigned

Jun 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1528295524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 N MARGINAL RD APT 339",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441143946",
            "telephone_number": "614-446-0994",
            "fax_number": "216-844-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "RB&C SUITE 1200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-3080",
            "fax_number": "216-844-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "SHREYA",
        "middle_name": "NALIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "2846",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30-023298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seyed-Mahmoudreza Modareszadeh-Esfahani, DDS, MSD
• Alla Model, MD
• Modelo Dental Care, Inc.
• Modelo Dental Center Inc.
• Anita Rae Modi
• Yasha S Modi, M.D.
• Anne Modic
• Mary Elizabeth Modic
• Kathy Lynn Modica, RRT
• Danielle Caprez Modlo, MSN, APRN, AGNP-C

• Pediatric Dentistry in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.