Individual provider Active NPI

Sherif Morcos Ebied, BDS, MDS, MSD, PHD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cuyahoga Falls, OH
National Provider Identifier
1740872266
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30.026371 Issued in OH
Practice address
822 Portage TRL Ste 1
Cuyahoga Falls, OH 44221-3053
Phone
(330) 929-2853
NPI assigned
Feb 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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 SINGLE SPECIALTY GROUP 1223X0400X 30.026371 OH Primary

Addresses

Primary practice location

822 Portage TRL Ste 1
Cuyahoga Falls, OH 44221-3053

Mailing address

822 Portage TRL # 1
Cuyahoga Falls, OH 44221-3053
Phone (216) 415-2005

Other practice location 1

26400 George Zeiger Dr Apt 312
Beachwood, OH 44122-7512
Phone (216) 415-2005

Other identifiers 1

IdentifierTypeStateIssuer
30.026371OtherOHOHIO 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
30.026371OHMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1740872266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 PORTAGE TRL # 1",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213053",
            "telephone_number": "216-415-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PORTAGE TRL STE 1",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213053",
            "telephone_number": "330-929-2853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26400 George Zeiger Dr Apt 312",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441227512",
            "country_code": "US",
            "telephone_number": "216-415-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORCOS EBIED",
        "first_name": "SHERIF",
        "credential": "BDS, MDS, MSD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30.026371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DENTAL BOARD",
            "identifier": "30.026371",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.