Individual provider Active NPI

Noora Khadier, DDS

  • Pediatric Dentistry
  • Cleveland, OH
National Provider Identifier
1881976371
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30.24868 Issued in OH
Practice address
3370 W 117TH St
Angel Dental Clinic
Cleveland, OH 44111-3605
Phone
(216) 688-0900
NPI assigned
Sep 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RES.3048 OH
Pediatric Dentistry 1223P0221X 30.24868 OH Primary

Addresses

Primary practice location

3370 W 117TH St
Angel Dental Clinic
Cleveland, OH 44111-3605

Mailing address

3370 W 117TH St
Angel Dental Clinic
Cleveland, OH 44111-3605
Phone (216) 688-0900

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
30.24868OHMDPediatric Dentist
RES.3048OHMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1881976371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 W 117TH ST",
            "address_2": "ANGEL DENTAL CLINIC",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113605",
            "telephone_number": "216-688-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 W 117TH ST",
            "address_2": "ANGEL DENTAL CLINIC",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113605",
            "telephone_number": "216-688-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADIER",
        "first_name": "NOORA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "RES.3048",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.24868",
            "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 Aug 22, 2016; 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.