Ellen K. Friedman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-022817 Issued in OH

Practice address

23300 Chagrin Blvd
G-10
Beachwood, OH 44122-5557

Phone

(216) 464-1180

Fax

(216) 464-3707

NPI assigned

Oct 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Solon Smiles - Dr. Michael S. Jack, DDS, LLC

  • Dental Clinic/Center
  • Solon, OH
  • NPI 1811642283
  NPD
• Britni L. Skoda DMD LLC

  • Dental Clinic/Center
  • Beachwood, OH
  • NPI 1891333266
  NPD (past)

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1760633044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23300 CHAGRIN BLVD",
            "address_2": "G-10",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225557",
            "telephone_number": "216-464-1180",
            "fax_number": "216-464-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23300 CHAGRIN BLVD",
            "address_2": "G-10",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225557",
            "telephone_number": "216-464-1180",
            "fax_number": "216-464-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ELLEN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Freeman
• Francesca Denise Freeman
• Ronald A Freireich, DPM
• Yakira Freund, DO
• Drew Friedman, MSW, LISW-S
• Charlotte M Frires, CNM, MSN
• Ebony Shantel Fritz, RN,BSN
• William Smith Froilan, PH.D.
• Avrum I Froimson, MD
• Michele Marie Fry, MS, LPC, CDCA

• General Practice Dentistry in Beachwood, OH
• Providers in Beachwood, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.

Verify at the official NPI Registry.