Active NPI
Howard E. Sperber, D.D.S.
- General Practice Dentistry
- Cleveland, OH
National Provider Identifier
1710010376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12979
- Practice address
- 28001 Chagrin Blvd
Suite 203
Cleveland, OH 44122-4559 - Phone
- (216) 831-6822
- Fax
- (216) 831-0910
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12979 | OH | Primary |
Addresses
Primary practice location
28001 Chagrin Blvd
Suite 203
Cleveland, OH 44122-4559
Mailing address
28001 Chagrin Blvd
Suite 203
Cleveland, OH 44122-4559
Phone (216) 831-6822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0086731 | Medicaid | OH |
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 |
|---|---|---|---|
| 12979 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Center for Family Dentistry 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
- Cleveland, OH
- NPI 1609192848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1710010376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28001 CHAGRIN BLVD",
"address_2": "SUITE 203",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441224559",
"telephone_number": "216-831-6822",
"fax_number": "216-831-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28001 CHAGRIN BLVD",
"address_2": "SUITE 203",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441224559",
"telephone_number": "216-831-6822",
"fax_number": "216-831-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERBER",
"first_name": "HOWARD",
"middle_name": "E.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "12979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0086731",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.