Individual provider Active NPI

Andrea Estefania Marrero

  • Dentist
  • Parma, OH
National Provider Identifier
1750135182
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30028590 Issued in OH
Practice address
7621 W Ridgewood Dr Ste 914B
Parma, OH 44129-5537
Phone
(216) 282-1448
NPI assigned
Apr 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN32145 FL
Dentist 122300000X 30028590 OH Primary

Addresses

Primary practice location

7621 W Ridgewood Dr Ste 914B
Parma, OH 44129-5537

Mailing address

955 W Saint Clair Ave Apt 1115
Cleveland, OH 44113-1238
Phone (305) 440-6889

Other practice location 1

4071 Lee Rd Ste 260
Cleveland, OH 44128-2173
Phone (216) 368-7238

Other names 1

  • Andrea Estefania Marrero Pena Other name

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

LicenseStateTypeSpecialty
RES.004719OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1750135182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W SAINT CLAIR AVE APT 1115",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441131238",
            "telephone_number": "305-440-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7621 W RIDGEWOOD DR STE 914B",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295537",
            "telephone_number": "216-282-1448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4071 Lee Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441282173",
            "country_code": "US",
            "telephone_number": "216-368-7238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "ANDREA",
        "middle_name": "ESTEFANIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN32145",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30028590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MARRERO PENA",
            "middle_name": "ESTEFANIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.