Individual provider Active NPI

Adib M Alsouss, DDS

  • General Practice Dentistry
  • Parma, OH
National Provider Identifier
1609846898
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20921 Issued in OH
Practice address
5500 Broadview Rd Suite 100
Parma, OH 44134-2725
Phone
(216) 351-5500
Fax
(216) 391-9651
NPI assigned
Jan 23, 2006
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20921 OH Primary

Addresses

Primary practice location

5500 Broadview Rd Suite 100
Parma, OH 44134-2725

Mailing address

5500 Broadview Rd Suite 100
Parma, OH 44134-2725
Phone (216) 351-5500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150617001407 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0345551339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20921OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1609846898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BROADVIEW RD SUITE 100",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342725",
            "telephone_number": "216-351-5500",
            "fax_number": "216-391-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BROADVIEW RD SUITE 100",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342725",
            "telephone_number": "216-351-5500",
            "fax_number": "216-391-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSOUSS",
        "first_name": "ADIB",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.