Organization Active NPI

Raj Vij DDS Inc

  • Dental Clinic/Center
  • Fairlawn, OH
National Provider Identifier
1790169779
Registry record updated Jul 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
19598 Issued in OH
Legal business name
RAJ VIJ DDS INC
Practice address
3523 Commercial Dr
Fairlawn, OH 44333-5107
Phone
(330) 668-9977
NPI assigned
Jul 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2015

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

Authorized official

Name
Dr. Rajesh Vij, DDSNPI 1598841082
Title
President
Phone
(330) 668-9977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 19598 OH Primary

Addresses

Primary practice location

3523 Commercial Dr
Fairlawn, OH 44333-5107

Mailing address

3523 Commercial Dr
Fairlawn, OH 44333-5107
Phone (330) 668-9977

Other identifiers 1

IdentifierTypeStateIssuer
0870900MedicaidOH

Other names 1

  • Dentistry 4 Kids Doing business as

National Provider Directory

National Provider Directory

Locations

3523 Commercial Dr
Fairlawn, OH 44333
Phone (330) 577-5774

Practitioners & affiliated clinicians

Practitioners 6

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": "1437264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437264000000",
    "number": "1790169779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 COMMERCIAL DR",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443335107",
            "telephone_number": "330-668-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 COMMERCIAL DR",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443335107",
            "telephone_number": "330-668-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ VIJ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-19",
        "last_updated": "2015-07-19",
        "status": "A",
        "authorized_official_last_name": "VIJ",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-668-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "19598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0870900",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry 4 Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2015; 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.