Buckeye Family Dental Presented by Dr Yazan Almadani LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BUCKEYE FAMILY DENTAL PRESENTED BY DR YAZAN ALMADANI LLC

Practice address

4163 Pearl Rd
Cleveland, OH 44109-3332

Phone

(216) 862-4990

Fax

(216) 862-3585

NPI assigned

Dec 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Yazan B Al-Madani, DDS

Title

General Dentist

Phone

(440) 454-4878

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1649691106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4163 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093332",
            "telephone_number": "216-862-4990",
            "fax_number": "216-862-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4163 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093332",
            "telephone_number": "216-862-4990",
            "fax_number": "216-862-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE FAMILY DENTAL PRESENTED BY DR YAZAN ALMADANI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "AL-MADANI",
        "authorized_official_first_name": "YAZAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "440-454-4878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2853630",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Buchtinec, ACNPC-AG
• Carl J Buchwald, PHARMD, RPH
• Mario A Bucio Jr., QMHS
• Buckeye Aspires Ohio LLC
• Buckeye DME, LLC
• Buckeye Forest at Cleveland
• Buckeye Homecare Services Inc.
• Buckeye Radiation Oncology-Cleveland LLC
• Buckeye Wellness Center
• Buckeye Wellness Center LLC

• General Practice Dentistry in Cleveland, OH
• Providers in Cleveland, 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 Dec 30, 2013; 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.