Icare Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ICARE DENTAL LLC

Practice address

14865 Detroit Ave
Lakewood, OH 44107-3909

Phone

(216) 772-2310

NPI assigned

Jan 2, 2024

Last updated

May 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rami Mouded, DDS/MPHNPI 1104167824

Title

Manager

Phone

(440) 454-4530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

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.

• Rami Mouded, DDS

  • General Practice Dentistry
  • Lakewood, OH
  • NPI 1104167824
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1669242657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31088 BELLERIVE CT",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451893",
            "telephone_number": "440-454-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14865 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073909",
            "telephone_number": "216-772-2310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31088 Bellerive Ct",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441451893",
            "country_code": "US",
            "telephone_number": "440-454-4530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ICARE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "MOUDED",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-454-4530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS/MPH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iftikhar Hussain, PHARMACIST
• Saba Muzafar Hussain, DMD
• Karen Hutchings
• Hygge Psychiatry LLC
• Amber Brooke Hyland, AGNP-C
• Lisa M Ignoffo Jordan, DC
• Bruce Enrique Imbacuan, DDS
• Informatics Ohio LLC
• Inner Bloom Psychiatric Services, LLC
• Inner Seeker Counseling LLC

• Dental Clinic/Center in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.