Renesha Thakkar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.027685 Issued in OH

Practice address

1727 Streetsboro PLZ
Streetsboro, OH 44241

Phone

(330) 626-3814

NPI assigned

Jun 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Streetsboro Dental

  • General Practice Dentistry
  • Streetsboro, OH
  • NPI 1013386739

  Single Specialty

  NPD (past)
• Streetsboro Dental Partners Inc

  • General Practice Dentistry
  • Streetsboro, OH
  • NPI 1649437336

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1720763584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 STREETSBORO PLZ",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 STREETSBORO PLZ",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "44241",
            "telephone_number": "330-626-3814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102306",
            "country_code": "US",
            "telephone_number": "315-464-5256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "RENESHA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Swartz, RPH
• Megan Szczepinski
• Amanda Tandy, ED.S.
• John J Terlecky
• Marna Dale Terlecky
• The Cleveland Clinic Foundation
• The Eye Source
• Becky Thomas, LISW-S
• Jondra Michelle Thomas, PMHNP-BC
• Devin Timberlake, PHARMD

• Dentist in Streetsboro, OH
• Providers in Streetsboro, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; 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.