Organization Active NPI

D2 Dental of Ohio, Inc.

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1831520428
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-024110 Issued in OH
Legal business name
D2 DENTAL OF OHIO, INC.
Practice address
10648 Lorain Ave
Suite 140
Cleveland, OH 44111-5411
Phone
(312) 404-3975
NPI assigned
Dec 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Mr. Boris Labinov
Title
Agent
Phone
(708) 445-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30-024110 OH Primary

Addresses

Primary practice location

10648 Lorain Ave
Suite 140
Cleveland, OH 44111-5411

Mailing address

137 N Oak Park Ave
Suite 310
Oak Park, IL 60301-1344

National Provider Directory

National Provider Directory

Locations

10648 Lorain Ave
Ste 140
Cleveland, OH 44111
Phone (312) 404-3975

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1831520428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE",
            "address_2": "SUITE 310",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10648 LORAIN AVE",
            "address_2": "SUITE 140",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115411",
            "telephone_number": "312-404-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D2 DENTAL OF OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "LABINOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "708-445-2663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-024110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.