Active NPI
Celia E Fenell, D.D.S., M.S.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Chardon, OH
National Provider Identifier
1720400021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 30.023474
- Practice address
- 11850 Mayfield Rd
Suite 3
Chardon, OH 44024-8370 - Phone
- (440) 214-9118
- Fax
- (440) 214-9174
- NPI assigned
- Jan 6, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 30.023474 | OH | Primary |
Addresses
Primary practice location
11850 Mayfield Rd
Suite 3
Chardon, OH 44024-8370
Mailing address
8155 Wedgewood Dr
Chesterland, OH 44026-2164
Phone (440) 479-6019
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 |
|---|---|---|---|
| 30.023474 | OH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1720400021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8155 WEDGEWOOD DR",
"city": "CHESTERLAND",
"state": "OH",
"postal_code": "440262164",
"telephone_number": "440-479-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11850 MAYFIELD RD",
"address_2": "SUITE 3",
"city": "CHARDON",
"state": "OH",
"postal_code": "440248370",
"telephone_number": "440-214-9118",
"fax_number": "440-214-9174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENELL",
"first_name": "CELIA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-06",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OH",
"license": "30.023474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.