Anas M Fatayer, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

30.026035 Issued in OH

Practice address

30400 Detroit Rd Ste 209
Westlake, OH 44145-1855

Phone

(440) 808-9990

Fax

(440) 808-9992

NPI assigned

May 16, 2012

Last updated

Oct 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Westlake Endodontics LLC

  • Dental Clinic/Center
  • Westlake, OH
  • NPI 1508499567
  NPD Authorized official
• Associated Dental Specialists

  • Endodontics
  • McKees Rocks, PA
  • NPI 1851729123
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1710247366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30400 DETROIT RD STE 209",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451855",
            "telephone_number": "440-808-9990",
            "fax_number": "440-808-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 DETROIT RD STE 209",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451855",
            "telephone_number": "440-808-9990",
            "fax_number": "440-808-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATAYER",
        "first_name": "ANAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039476",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS039476",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30.026035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Far West Center
• Paul Deeb Farah, DO
• Gina Marie Farinacci-Nugent, NP-C
• Bridgid Farrell, OTR/L
• Lindsey Fascione, APRN
• Benjamin Alan Faulhaber
• David Fazekas
• Mary Raphaela Fazekas
• Angel L Feckner
• Terri A. Feher

• Endodontics in Westlake, OH
• Providers in Westlake, OH by specialty
• Endodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.