Individual provider Active NPI

Valentina Maria Dobre, DMD, MSD

  • Periodontics
  • Cleveland, OH
National Provider Identifier
1801075270
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
30.022019 Issued in OH
Practice address
1581 W 117TH St
Cleveland, OH 44107-5254
Phone
(216) 801-4437
Fax
(216) 801-4438
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 30.022019 OH Primary

Addresses

Primary practice location

1581 W 117TH St
Cleveland, OH 44107-5254

Mailing address

1581 W 117TH St
Cleveland, OH 44107-5254
Phone (216) 801-4437

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160404001345 OH Practitioner - Oral Surgery 2860799962 Practice locations: Cleveland, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.022019OHMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1801075270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441075254",
            "telephone_number": "216-801-4437",
            "fax_number": "216-801-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441075254",
            "telephone_number": "216-801-4437",
            "fax_number": "216-801-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRE",
        "first_name": "VALENTINA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30.022019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.