NPIMap

Organization Active NPI

Case School of Dental Medicine

  • Dental Clinic/Center
  • Cleveland, OH
National Provider Identifier
1760723902
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
11229 Issued in OH
Legal business name
CASE SCHOOL OF DENTAL MEDICINE
Practice address
2124 Cornell Rd
Cleveland, OH 44106-3804
Phone
(216) 368-5210
Fax
(216) 368-6771
NPI assigned
Mar 13, 2013
Organization subpart
Yes
Parent organization
CASE/WESTERN RESERVE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Dr. Lisa Lang, D.D.S., M.S.D. M.B.A
Title
Director- Dept. of Comprehensive Ca
Phone
(216) 368-5210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 11229 OH Primary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 11229 OH

Addresses

Primary practice location

2124 Cornell Rd
Cleveland, OH 44106-3804

Mailing address

2124 Cornell Rd
Cleveland, OH 44106-3804
Phone (216) 368-5210

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Human Geneti8 organizations share this tax ID, including this one
Part of
Center for Human Geneti

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2124 Cornell Rd
Cleveland, OH 44106
Phone (216) 368-3200

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1760723902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 CORNELL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441063804",
            "telephone_number": "216-368-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 CORNELL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441063804",
            "telephone_number": "216-368-5210",
            "fax_number": "216-368-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASE SCHOOL OF DENTAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASE/WESTERN RESERVE UNIVERSITY",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR- DEPT. OF COMPREHENSIVE CA",
        "authorized_official_telephone_number": "216-368-5210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D. M.B.A"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "11229",
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "11229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 13, 2013; 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.