Organization Active NPI

Rockland Ray DDS LLC

  • Dental Clinic/Center
  • North Olmsted, OH
National Provider Identifier
1700504685
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROCKLAND RAY DDS LLC
Practice address
26777 Lorain Rd Ste 600
North Olmsted, OH 44070-3222
Phone
(440) 471-4187
Fax
(440) 617-6456
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Annette Fasnacht
Title
Office Manager
Phone
(440) 471-4187

Specialties & licenses 1

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

Addresses

Primary practice location

26777 Lorain Rd Ste 600
North Olmsted, OH 44070-3222

Mailing address

26777 Lorain Rd Ste 600
North Olmsted, OH 44070-3222
Phone (440) 471-4187

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1700504685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 600",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703222",
            "telephone_number": "440-471-4187",
            "fax_number": "440-617-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 600",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703222",
            "telephone_number": "440-471-4187",
            "fax_number": "440-617-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND RAY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "FASNACHT",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-471-4187"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.