NPIMap

Organization Active NPI

Children'S Dental Assoc., Inc.

  • Pediatric Dentistry
  • Chagrin Falls, OH
National Provider Identifier
1760601397
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
15903 Issued in OH
Legal business name
CHILDREN'S DENTAL ASSOC., INC.
Practice address
8401 Chagrin Rd
# 2
Chagrin Falls, OH 44023-4701
Phone
(440) 708-1331
Fax
(440) 708-1777
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lawrence Edward Brown, DDS
Title
Vice-President
Phone
(440) 708-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 15903 OH Primary

Addresses

Primary practice location

8401 Chagrin Rd
# 2
Chagrin Falls, OH 44023-4701

Mailing address

8401 Chagrin Rd
# 2
Chagrin Falls, OH 44023-4701
Phone (440) 708-1331

National Provider Directory

National Provider Directory

Locations

8401 Chagrin Rd
Ste 2
Chagrin Falls, OH 44023
Phone (440) 708-1331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760601397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 CHAGRIN RD",
            "address_2": "# 2",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234701",
            "telephone_number": "440-708-1331",
            "fax_number": "440-708-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CHAGRIN RD",
            "address_2": "# 2",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234701",
            "telephone_number": "440-708-1331",
            "fax_number": "440-708-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL ASSOC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "440-708-1331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "15903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.