NPIMap

Organization Active NPI

Ana & Anthony Dental LLC

  • Dental Clinic/Center
  • Willoughby, OH
National Provider Identifier
1699545111
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANA & ANTHONY DENTAL LLC
Practice address
38530 Lake Shore Blvd
Willoughby, OH 44094-7163
Phone
(440) 953-1733
NPI assigned
Jan 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Dr. Ana Valentina Perez, DMDNPI 1386228609
Title
Owner
Phone
(407) 342-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

38530 Lake Shore Blvd
Willoughby, OH 44094-7163

Mailing address

38530 Lake Shore Blvd
Willoughby, OH 44094-7163
Phone (440) 953-1733

Other names 1

  • Lakeshore Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1699545111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38530 LAKE SHORE BLVD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440947163",
            "telephone_number": "440-953-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38530 LAKE SHORE BLVD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440947163",
            "telephone_number": "440-953-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA & ANTHONY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "VALENTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-342-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.