Active NPI
James M Pelagalli, DMD
- Dentist
- N Royalton, OH
National Provider Identifier
1689932428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17970
- Practice address
- 12821 State Rd
N Royalton, OH 44133-3911 - Phone
- (440) 230-9401
- NPI assigned
- Apr 30, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17970 | OH | Primary |
Addresses
Primary practice location
12821 State Rd
N Royalton, OH 44133-3911
Mailing address
12821 State Rd
N Royalton, OH 44133-3911
Phone (440) 230-9401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17970 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiara Enterprise Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- North Royalton, OH
- NPI 1003147752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1689932428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12821 STATE RD",
"city": "N ROYALTON",
"state": "OH",
"postal_code": "441333911",
"telephone_number": "440-230-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12821 STATE RD",
"city": "N ROYALTON",
"state": "OH",
"postal_code": "441333911",
"telephone_number": "440-230-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELAGALLI",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-30",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "17970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Royalton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.