Individual provider Active NPI

Deena Sher, DMD

  • Periodontics
  • Lyndhurst, OH
National Provider Identifier
1790072056
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
30.025220 Issued in OH
Practice address
29001 Cedar Rd Ste 400
Lyndhurst, OH 44124-4041
Phone
(440) 684-4868
Fax
(440) 684-4869
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 30.025220 OH Primary

Addresses

Primary practice location

29001 Cedar Rd Ste 400
Lyndhurst, OH 44124-4041

Mailing address

29001 Cedar Rd Ste 400
Lyndhurst, OH 44124-4041
Phone (440) 684-4868

Other practice location 1

7983 Broadview Rd
Broadview Heights, OH 44147-1201
Phone (440) 546-9333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20160503001265 MI Order and Referring Only - DentistPractitioner - Other (Physician)Practitioner - Dentist 8123327780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.025220OHMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Sher Periodontics, LLC Past Accepting new patients
Lawrence Scott Frankel DMD Ms Inc. Periodontics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1790072056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29001 CEDAR RD STE 400",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441244041",
            "telephone_number": "440-684-4868",
            "fax_number": "440-684-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29001 CEDAR RD STE 400",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441244041",
            "telephone_number": "440-684-4868",
            "fax_number": "440-684-4869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7983 Broadview Rd",
            "address_purpose": "LOCATION",
            "city": "Broadview Heights",
            "state": "OH",
            "postal_code": "441471201",
            "country_code": "US",
            "telephone_number": "440-546-9333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHER",
        "first_name": "DEENA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30.025220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

Verify at the official NPI Registry.