NPIMap

Organization Active NPI

Dental Professionals Cleveland-Nouneh,Inc.

Doing business as bright now dental

  • Dentist
  • Elyria, OH
National Provider Identifier
1730363169
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19758 Issued in OH
Legal business name
DENTAL PROFESSIONALS CLEVELAND-NOUNEH,INC.
Doing business as
bright now dental
Practice address
667 Chestnut Commons Drive
Elyria, OH 44035
Phone
(440) 324-2310
Fax
(440) 324-9454
NPI assigned
Dec 20, 2007
Last updated
May 18, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS CLEVELAND-NOUNEH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Mrs. Diane L Ulichney
Title
Credentialing Manager
Phone
(440) 345-9068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19758 OH Primary

Addresses

Primary practice location

667 Chestnut Commons Drive
Elyria, OH 44035

Mailing address

6315 Pearl Rd Ste 201
Parma Heights, OH 44130-3074
Phone (440) 345-9068

Other identifiers 1

IdentifierTypeStateIssuer
2497490MedicaidOH

Other names 1

  • bright now dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Professionals Cleveland-Nouneh Inc11 organizations share this tax ID, including this one
Part of
Dental Professionals Cleveland-Nouneh Inc

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

667 Chestnut Commons Dr
Elyria, OH 44035
Phone (440) 324-2310

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1730363169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 PEARL RD STE 201",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303074",
            "telephone_number": "440-345-9068",
            "fax_number": "440-842-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 CHESTNUT COMMONS DRIVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "44035",
            "telephone_number": "440-324-2310",
            "fax_number": "440-324-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS CLEVELAND-NOUNEH,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS CLEVELAND-NOUNEH, INC.",
        "enumeration_date": "2007-12-20",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "ULICHNEY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "440-345-9068",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2497490",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bright now dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.