Individual provider Active NPI

Dalia Thweib, DDS

  • General Practice Dentistry
  • Fairview Park, OH
National Provider Identifier
1831751858
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.026271 Issued in OH
Practice address
21245 Lorain Rd Ste 100
Fairview Park, OH 44126-2140
Phone
(440) 331-0164
NPI assigned
Jun 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.026271 OH Primary

Addresses

Primary practice location

21245 Lorain Rd Ste 100
Fairview Park, OH 44126-2140

Mailing address

3377 Kings Mill Run
Rocky River, OH 44116-3957
Phone (440) 463-8489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.026271OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thaddeus J. Mandato, D.D.S., Inc. General Practice PastSince Nov 21, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1831751858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 KINGS MILL RUN",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163957",
            "telephone_number": "440-463-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21245 LORAIN RD STE 100",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262140",
            "telephone_number": "440-331-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THWEIB",
        "first_name": "DALIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-29",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.