Individual provider Active NPI

Alan B Schlesinger, DDS

  • Dentist
  • Willoughby, OH
National Provider Identifier
1811052301
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
OHIO 3020746 Issued in OH
Practice address
5900 Som Center Rd
Suite 10
Willoughby, OH 44094
Phone
(440) 951-2246
Fax
(440) 943-4767
NPI assigned
Dec 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X OHIO 3020746 OH Primary

Addresses

Primary practice location

5900 Som Center Rd
Suite 10
Willoughby, OH 44094

Mailing address

5900 Som Center Rd
Suite 10
Willoughby, OH 44094
Phone (440) 951-2246

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
I20161214002703 OH Order and Referring Only - DentistPractitioner - Dentist 9436439171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
OHIO 3020746OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alan B Schlesinger DDS Inc CurrentSince Apr 25, 2021 Accepting new patients

Locations

5900 Som Center Rd
Ste 10
Willoughby, OH 44094
Phone (440) 347-9880

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811052301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SOM CENTER RD",
            "address_2": "SUITE 10",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-951-2246",
            "fax_number": "440-943-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SOM CENTER RD",
            "address_2": "SUITE 10",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-951-2246",
            "fax_number": "440-943-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLESINGER",
        "first_name": "ALAN",
        "middle_name": "B",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "OHIO 3020746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.