Active NPI
Mentor Pediatric Dentistry
- Pediatric Dentistry
- Mentor, OH
National Provider Identifier
1952125734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- MENTOR PEDIATRIC DENTISTRY
- Practice address
- 8346 Mentor Ave
Mentor, OH 44060-5748 - Phone
- (440) 266-5437
- Fax
- (440) 974-6630
- NPI assigned
- Nov 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohamamd Yasser Armanazi, DDS
- Title
- Owner
- Phone
- (440) 840-4551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
8346 Mentor Ave
Mentor, OH 44060-5748
Mailing address
8346 Mentor Ave
Mentor, OH 44060-5748
Phone (440) 266-5437
National Provider Directory
National Provider DirectoryLocations
8346 Mentor Ave
Mentor, OH 44060
Phone (440) 266-5437
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Mentor, OH
- NPI 1083769806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731024000000",
"number": "1952125734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8346 MENTOR AVE",
"city": "MENTOR",
"state": "OH",
"postal_code": "440605748",
"telephone_number": "440-266-5437",
"fax_number": "440-974-6630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8346 MENTOR AVE",
"city": "MENTOR",
"state": "OH",
"postal_code": "440605748",
"telephone_number": "440-266-5437",
"fax_number": "440-974-6630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTOR PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-08",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A",
"authorized_official_last_name": "ARMANAZI",
"authorized_official_first_name": "MOHAMAMD",
"authorized_official_middle_name": "YASSER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-840-4551",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mentor, OH
- Mentor Dental Care - David M. Raiffe DDS Mba LLC
- Mentor Exempted Village School District
- Mentor Health and Rehabilitation Center, Inc.
- Mentor Operator, LLC
- Mentor Ops, LLC
- Mentor Smiles, Vladimir Khramoy, DDS, LLC
- Mentor SNF Healthcare LLC
- Mentor Surgery Center LTD
- Mentor Way Nursing & Rehabilitation Center, Inc.
- Meridia Medical Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.