Active NPI
Anna Eenas Shahrour, DMD
- Dentist
- Cleveland, OH
National Provider Identifier
1730707944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.026649
- Practice address
- 3736 Rocky River Dr
Cleveland, OH 44111-4050 - Phone
- (216) 251-8826
- NPI assigned
- Jul 14, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN25507 | FL | |
| Dentist | 122300000X | DRPM2193 | FL | |
| Dentist | 122300000X | 30.026649 | OH | Primary |
Addresses
Primary practice location
3736 Rocky River Dr
Cleveland, OH 44111-4050
Mailing address
3736 Rocky River Dr
Cleveland, OH 44111-4050
Phone (216) 251-8826
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN25507 | Other | FL | FLORIDA BOARD OF DENTISTRY |
| 30.026649 | Other | OH | OHIO STATE DENTAL BOARD |
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 |
|---|---|---|---|
| DN25507 | FL | MD | Dentist |
| DRPM2193 | FL | MD | Dentist |
| 30.026649 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Sleep Treatment LLC | Dentist | Current | Accepting new patients |
Locations
3736 Rocky River Dr
Cleveland, OH 44111
Phone (216) 230-5667
Organizations & group practices 1
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": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1730707944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3736 ROCKY RIVER DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441114050",
"telephone_number": "216-251-8826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3736 ROCKY RIVER DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441114050",
"telephone_number": "216-251-8826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHROUR",
"first_name": "ANNA",
"middle_name": "EENAS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN25507",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DRPM2193",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.026649",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BOARD OF DENTISTRY",
"identifier": "DN25507",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO STATE DENTAL BOARD",
"identifier": "30.026649",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.