Individual provider Active NPI

Joseph I Krajekian, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Mayfield Heights, OH
National Provider Identifier
1891952040
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN1857173 Issued in MA
Practice address
1284 Som Center Rd Ste 219
Mayfield Heights, OH 44124-2048
Phone
(888) 774-7773
Fax
(888) 774-7970
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30.022312 OH
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN1857173 MA Primary
General Practice Dentistry 1223G0001X 30022312 OH

Addresses

Primary practice location

1284 Som Center Rd Ste 219
Mayfield Heights, OH 44124-2048

Mailing address

6900 Wilson Mills Rd
Gates Mills, OH 44040-9611
Phone (440) 520-0717

Other identifiers 1

IdentifierTypeStateIssuer
2855503MedicaidOH

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080909000002 OH Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 7214003656 Practice locations: Gates Mills, OH

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Tufts University School of Dental Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Gates Mills, OH 44040
Phone 44052007172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30022312OHMDGeneral Practice Dentistry
DN1857173MAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Maxillofacial Surgery Innovative Services Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1284 Som Center Rd
Mayfield Heights, OH 44124
Phone (888) 774-7773

Organizations & group practices 2

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1891952040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 WILSON MILLS RD",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "440409611",
            "telephone_number": "440-520-0717",
            "fax_number": "888-774-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 SOM CENTER RD STE 219",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242048",
            "telephone_number": "888-774-7773",
            "fax_number": "888-774-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAJEKIAN",
        "first_name": "JOSEPH",
        "middle_name": "I",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.022312",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1857173",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022312",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2855503",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

Verify at the official NPI Registry.