Mentor Dental Care - David M. Raiffe DDS Mba LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MENTOR DENTAL CARE - DAVID M. RAIFFE DDS MBA LLC

Practice address

7259 Center St
Mentor, OH 44060-4907

Phone

(440) 823-6790

NPI assigned

Feb 4, 2015

Organization subpart

No

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

Authorized official

Name

Opal Anderson

Title

Business Manager

Phone

(440) 823-6790

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christ B Theodorou, D.M.D.

  • Dentist
  • Mentor, OH
  • NPI 1265445696
  NPD (past)

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1942690441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7259 CENTER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7259 CENTER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604907",
            "telephone_number": "440-823-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR DENTAL CARE - DAVID M. RAIFFE DDS MBA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "440-823-6790"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Melaragno
• Kendra Meltzer
• Karla Josmara Mendez, AA
• Mentor Chiropractic and Rehabilitation Inc
• Mentor Dental Arts Ronald L. Micchia DDS, Inc.
• Mentor Exempted Village School District
• Mentor Health and Rehabilitation Center, Inc.
• Mentor Operator, LLC
• Mentor Ops, LLC
• Mentor Pediatric Dentistry

• General Practice Dentistry in Mentor, OH
• Providers in Mentor, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.