Organization Active NPI

Cleveland Center for Family Dentistry Inc

  • Dental Clinic/Center
  • Cleveland, OH
National Provider Identifier
1609192848
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30-020653 Issued in OH
Legal business name
CLEVELAND CENTER FOR FAMILY DENTISTRY INC
Practice address
28001 Chagrin Blvd Ste 203
Cleveland, OH 44122-4543
Phone
(216) 831-6822
Fax
(216) 831-0910
NPI assigned
Apr 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Dr. Natalie Farber, DDSNPI 1235200171
Title
Owner
Phone
(216) 831-6822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30-020653 OH Primary

Addresses

Primary practice location

28001 Chagrin Blvd Ste 203
Cleveland, OH 44122-4543

Mailing address

28001 Chagrin Blvd Ste 203
Cleveland, OH 44122-4543
Phone (216) 831-6822

Other identifiers 1

IdentifierTypeStateIssuer
2541600MedicaidOH

National Provider Directory

National Provider Directory

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": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1609192848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28001 CHAGRIN BLVD STE 203",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441224543",
            "telephone_number": "216-831-6822",
            "fax_number": "216-831-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28001 CHAGRIN BLVD STE 203",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441224543",
            "telephone_number": "216-831-6822",
            "fax_number": "216-831-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CENTER FOR FAMILY DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "FARBER",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-831-6822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30-020653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2541600",
            "state": "OH"
        }
    ],
    "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 15, 2010; 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.