Mark Paly, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.026315 Issued in OH

Practice address

13193 Hampton Club Dr Apt 104
North Royalton, OH 44133-7413

Phone

(904) 885-2860

NPI assigned

Sep 23, 2020

Last updated

Sep 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1619584786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13193 HAMPTON CLUB DR APT 104",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441337413",
            "telephone_number": "904-885-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13193 HAMPTON CLUB DR APT 104",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441337413",
            "telephone_number": "904-885-2860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Mentor Ave Ste 218",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440608714",
            "country_code": "US",
            "telephone_number": "904-885-2860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALY",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Oriti, D.P.M.
• Morgan E Otto, APRN
• Marc Robert Pagano, PH.D.
• Palmentera & Associates, Inc.
• Carmela M. Palmentera, PH.D.
• Manbir Kaur Pannu, DDS
• Samuel G Papandreas, DDS MS
• Melissa Pappert, LISW-S
• Parma SNF Healthcare LLC (North Royalton Post Acute)
• Robert Parschen, PTA

• General Practice Dentistry in North Royalton, OH
• Providers in North Royalton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.