Active NPI
Genevieve Garbrah, DDS
- Dentist
- Cleveland, OH
National Provider Identifier
1609187376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30-023270
- Practice address
- 3545 Ridge Road
Unit 2
Cleveland, OH 44102 - Phone
- (216) 961-9501
- Fax
- (216) 861-7959
- NPI assigned
- Jun 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30-023270 | OH | Primary |
| Dentist | 122300000X | 30.023270 | OH |
Addresses
Primary practice location
3545 Ridge Road
Unit 2
Cleveland, OH 44102
Mailing address
3545 Ridge Road
Unit 2
Cleveland, OH 44102
Phone (216) 961-9501
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-023270 | OH | MD | Dentist |
| 30.023270 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1609187376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 RIDGE ROAD",
"address_2": "UNIT 2",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44102",
"telephone_number": "216-961-9501",
"fax_number": "216-861-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 RIDGE ROAD",
"address_2": "UNIT 2",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44102",
"telephone_number": "216-961-9501",
"fax_number": "216-861-7959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARBRAH",
"first_name": "GENEVIEVE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30-023270",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.023270",
"primary": false
}
],
"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 Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.