Active NPI
Bethany L Doroghazi, D.M.D.
- Dentist
- Cleveland, OH
National Provider Identifier
1750646188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30-023688
- Practice address
- 8300 Hough Ave
Cleveland, OH 44103-4247 - Phone
- (216) 231-7700
- NPI assigned
- Jul 11, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30-023688 | OH | Primary |
Addresses
Primary practice location
8300 Hough Ave
Cleveland, OH 44103-4247
Mailing address
6815 Thornapple Dr
Gates Mills, OH 44040-9644
Phone (440) 488-6744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0089125 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-023688 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lorain County Health & Dentistry | Current | Accepting new patients | |
| Lorain County Health & Dentistry | Dentist | Current | Accepting new patients |
| Lorain County Health & Dentistry | Current | Accepting new patients |
Locations
105 Louden Ct
Elyria, OH 44035
3745 Grove Ave
Lorain, OH 44055
Phone (440) 240-1901
1205 Broadway
Lorain, OH 44052
260 S Main St
Oberlin, OH 44074
Interoperability endpoints
- bdoroghazi769425@direct.ochin.org
- bethany.doroghazi.p11@direct.loraincountyhealth.nextgenshare.com
Organizations & group practices 3
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.
-
- Clinic/Center
- Lorain, OH
- NPI 1215194527
-
dba LCH&D Pharmacy Lorain
- Community/Retail Pharmacy
- Lorain, OH
- NPI 1871304550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491696000000",
"number": "1750646188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6815 THORNAPPLE DR",
"city": "GATES MILLS",
"state": "OH",
"postal_code": "440409644",
"telephone_number": "440-488-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 HOUGH AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441034247",
"telephone_number": "216-231-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOROGHAZI",
"first_name": "BETHANY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2017-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30-023688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0089125",
"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 Apr 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.