Mindy Jill Streem, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30-022478 Issued in OH

Practice address

34501 Aurora Rd Ste 305
Solon, OH 44139-3831

Phone

(440) 248-4825

Fax

(440) 248-5489

NPI assigned

Jan 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mindy Jill Greenblatt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Glenn C Goodrich DDS Ms Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Solon, OH
  • NPI 1891813887
  NPD (past)

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1750567673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34501 AURORA RD STE 305",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393831",
            "telephone_number": "440-248-4825",
            "fax_number": "440-248-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34501 AURORA RD STE 305",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393831",
            "telephone_number": "440-248-4825",
            "fax_number": "440-248-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREEM",
        "first_name": "MINDY",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30-022478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "GREENBLATT",
            "middle_name": "JILL",
            "prefix": "DR.",
            "credential": "DMD, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Solon, OH
• Providers in Solon, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.