NPIMap

Organization Active NPI

Perfect-a-Smile Dental Group

  • General Practice Dentistry
  • Chagrin Falls, OH
National Provider Identifier
1629161591
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-01-4550 Issued in OH
Legal business name
PERFECT-A-SMILE DENTAL GROUP
Practice address
16716 Chillicothe Rd
Suite 700
Chagrin Falls, OH 44023-4595
Phone
(440) 708-0900
Fax
(440) 708-0904
NPI assigned
Oct 2, 2006
Last updated
Nov 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Richard P Slaten, DDSNPI 1003937087
Title
Owner President
Phone
(440) 708-0900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-02-0090 OH
General Practice Dentistry 1223G0001X 30-01-4550 OH Primary

Addresses

Primary practice location

16716 Chillicothe Rd
Suite 700
Chagrin Falls, OH 44023-4595

Mailing address

16716 Chillicothe Rd
Suite 700
Chagrin Falls, OH 44023-4595
Phone (440) 708-0900

National Provider Directory

National Provider Directory

Locations

551 Washington St
Ste 143
Chagrin Falls, OH 44022
Phone (440) 247-8922

Practitioners & affiliated clinicians

Practitioners 5

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1629161591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16716 CHILLICOTHE RD",
            "address_2": "SUITE 700",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234595",
            "telephone_number": "440-708-0900",
            "fax_number": "440-708-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16716 CHILLICOTHE RD",
            "address_2": "SUITE 700",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234595",
            "telephone_number": "440-708-0900",
            "fax_number": "440-708-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT-A-SMILE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "SLATEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "440-708-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-02-0090",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-01-4550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.