Individual provider Active NPI

Abdul Wasey, DMD

  • Dentist
  • Mentor, OH
National Provider Identifier
1659019842
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D012322 Issued in AZ
Practice address
9500 Mentor Ave Ste 110
Mentor, OH 44060-8712
Phone
(440) 352-2887
NPI assigned
May 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30.026854 OH
Dentist 122300000X D012322 AZ Primary

Addresses

Primary practice location

9500 Mentor Ave Ste 110
Mentor, OH 44060-8712

Mailing address

379 E Glen Eagle Dr
Cleveland, OH 44143-3641
Phone (440) 840-9406

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
I20220915001644 OH Order and Referring Only - DentistPractitioner - Dentist 7719362565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D012322AZMDDentist
30.026854OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1659019842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 E GLEN EAGLE DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441433641",
            "telephone_number": "440-840-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MENTOR AVE STE 110",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608712",
            "telephone_number": "440-352-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASEY",
        "first_name": "ABDUL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-26",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026854",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.