Individual provider Active NPI

Stuart Klassman, DDS

  • Dentist
  • Cleveland HTS, OH
National Provider Identifier
1710066592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30013901 Issued in OH
Practice address
3636 Mayfield Rd
American Dental Centers
Cleveland HTS, OH 44118
Phone
(216) 291-2600
Fax
(216) 291-2602
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30013901 OH Primary

Addresses

Primary practice location

3636 Mayfield Rd
American Dental Centers
Cleveland HTS, OH 44118

Mailing address

6140 Parkland Blvd
#100 American Dental Centers
Mayfield HTS, OH 44124
Phone (440) 446-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170605000719 OH Practitioner - Oral Surgery 3476820929 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30013901OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Inc Current Accepting new patients
Mobile Medical, Inc. Dentist CurrentSince Apr 18, 2017 Accepting new patients
Mobile Medical, Inc. CurrentSince Apr 18, 2017 Accepting new patients
American Dental Centers Dentist Past Accepting new patients
Mobile Medical, Inc. Past Accepting new patients
American Dental Centers Dentist Past Accepting new patients

Locations

1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031

575 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 835-1629

135 Merchant St
Ste 270
Cincinnati, OH 45246
Phone (513) 771-7483

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710066592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 PARKLAND BLVD",
            "address_2": "#100 AMERICAN DENTAL CENTERS",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "440-446-1555",
            "fax_number": "440-446-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 MAYFIELD RD",
            "address_2": "AMERICAN DENTAL CENTERS",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "44118",
            "telephone_number": "216-291-2600",
            "fax_number": "216-291-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLASSMAN",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30013901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland HTS, OH

Sources for this page

Verify at the official NPI Registry.