Individual provider Active NPI

Mohamad Sarraj, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Avon, OH
National Provider Identifier
1720690803
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30.026290 Issued in OH
Practice address
37701 Colorado Ave
Suite F
Avon, OH 44011
Phone
(267) 648-6428
Fax
(440) 934-5801
NPI assigned
Aug 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 30.026290 OH Primary

Addresses

Primary practice location

37701 Colorado Ave
Suite F
Avon, OH 44011

Mailing address

19495 Cavendish CT
North Royalton, OH 44133-6117
Phone (267) 648-6428

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30.026290OHMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Avon Orth, LLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Avon Orth, LLC Orthodontics and Dentofacial Orthopedics CurrentSince Mar 24, 2024 Accepting new patients

Locations

37701 Colorado Ave
Ste F
Avon, OH 44011
Phone (267) 648-6428

Organizations & group practices 2

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1720690803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19495 CAVENDISH CT",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441336117",
            "telephone_number": "267-648-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37701 COLORADO AVE",
            "address_2": "SUITE F",
            "city": "AVON",
            "state": "OH",
            "postal_code": "44011",
            "telephone_number": "267-648-6428",
            "fax_number": "440-934-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARRAJ",
        "first_name": "MOHAMAD",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30.026290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.