NPIMap

Organization Active NPI

Dental Professionals Cleveland-Nouneh, Inc

Doing business as brightnow dental

  • Dentist
  • Canton, OH
National Provider Identifier
1538344569
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19758 Issued in OH
Legal business name
DENTAL PROFESSIONALS CLEVELAND-NOUNEH, INC
Doing business as
brightnow dental
Practice address
4258 Belden Village Mall
Space FC-17
Canton, OH 44718-2504
Phone
(330) 492-4250
Fax
(330) 492-4255
NPI assigned
Jan 9, 2008
Last updated
May 13, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS CLEVELAND-NOUNEH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Diane L Ulichney
Title
Credentialing Manager
Phone
(440) 345-9068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 19758 OH Primary

Addresses

Primary practice location

4258 Belden Village Mall
Space FC-17
Canton, OH 44718-2504

Mailing address

6315 Pearl Rd Ste 201
Parma Heights, OH 44130-3074
Phone (330) 345-9068

Other names 1

  • brightnow dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Professionals Cleveland - Nouneh Inc11 organizations share this tax ID, including this one
Part of
Dental Professionals Cleveland - Nouneh Inc

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4258 Belden Village Mall
Spc FC17
Canton, OH 44718
Phone (330) 492-4250

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1538344569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 PEARL RD STE 201",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303074",
            "telephone_number": "330-345-9068",
            "fax_number": "440-824-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4258 BELDEN VILLAGE MALL",
            "address_2": "SPACE FC-17",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182504",
            "telephone_number": "330-492-4250",
            "fax_number": "330-492-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS CLEVELAND-NOUNEH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS CLEVELAND-NOUNEH, INC",
        "enumeration_date": "2008-01-09",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "ULICHNEY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "440-345-9068"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "19758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "brightnow dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.