Active NPI
North Bridgeville Dental Clinic LLC
- Dentist
- North Ridgeville, OH
National Provider Identifier
1811218845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- NORTH BRIDGEVILLE DENTAL CLINIC LLC
- Practice address
- 34282 Center Ridge Rd
North Ridgeville, OH 44039 - Phone
- (440) 327-7950
- Fax
- (440) 321-1825
- NPI assigned
- Jun 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlyne Jungermann, X
- Title
- Office Manager
- Phone
- (440) 327-7950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
34282 Center Ridge Rd
North Ridgeville, OH 44039
Mailing address
34282 Center Ridge Rd
North Ridgeville, OH 44039
Phone (440) 327-7950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0866595 | Medicaid | OH | |
| 2934810 | Medicaid | OH |
Other names 1
- North Ridgeville Dental
National Provider Directory
National Provider DirectoryLocations
34282 Center Ridge Rd
North Ridgeville, OH 44039
Phone (440) 307-1107
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- North Ridgeville, OH
- NPI 1861236283
-
- Dentist
- North Ridgeville, OH
- NPI 1215117866
-
- General Practice Dentistry
- Chagrin Falls, OH
- NPI 1295224004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694131200000",
"number": "1811218845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34282 CENTER RIDGE RD",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "44039",
"telephone_number": "440-327-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34282 CENTER RIDGE RD",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "44039",
"telephone_number": "440-327-7950",
"fax_number": "440-321-1825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BRIDGEVILLE DENTAL CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-14",
"last_updated": "2023-09-08",
"status": "A",
"authorized_official_last_name": "JUNGERMANN",
"authorized_official_first_name": "CHARLYNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "440-327-7950",
"authorized_official_credential": "X"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0866595",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2934810",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Ridgeville Dental",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Ridgeville Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Ridgeville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.