Individual provider Active NPI

Radwan Almomani, DMD

  • Dentist
  • Twinsburg, OH
National Provider Identifier
1659800308
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30025134 Issued in OH
Practice address
9700 Ravenna Rd
Twinsburg, OH 44087-2144
Phone
(330) 888-1504
NPI assigned
Jun 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30025134 OH Primary

Addresses

Primary practice location

9700 Ravenna Rd
Twinsburg, OH 44087-2144

Mailing address

9700 Ravenna Rd
Twinsburg, OH 44087-2144
Phone (330) 888-1504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170801003354 PA Order and Referring Only - DentistPractitioner - Dentist 2769753243
I20170809002124 OH Order and Referring Only - DentistPractitioner - Dentist 2769753243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30025134OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
T Latif LLC Past Accepting new patients
Belmont Eye Clinic, Inc. Past Accepting new patients
Serenity Dental Care, P.C. Dentist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1659800308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 RAVENNA RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872144",
            "telephone_number": "330-888-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 RAVENNA RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872144",
            "telephone_number": "330-888-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMOMANI",
        "first_name": "RADWAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30025134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

Verify at the official NPI Registry.