Active NPI
Mouawia Ghiba, DMD
- Prosthodontics
- Elyria, OH
National Provider Identifier
1932184199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 20505
- Practice address
- 435 Griswold Rd
Elyria, OH 44035-2304 - Phone
- (440) 871-0948
- Fax
- (440) 324-9454
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 20505 | OH | Primary |
Addresses
Primary practice location
435 Griswold Rd
Elyria, OH 44035-2304
Mailing address
452 Oakmoor Rd
Bay Village, OH 44140-2521
Phone (440) 871-0948
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20505 | OH | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932184199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 OAKMOOR RD",
"city": "BAY VILLAGE",
"state": "OH",
"postal_code": "441402521",
"telephone_number": "440-871-0948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 GRISWOLD RD",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440352304",
"telephone_number": "440-871-0948",
"fax_number": "440-324-9454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHIBA",
"first_name": "MOUAWIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "OH",
"license": "20505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.