Organization Active NPI

Mentor Pediatric Dentistry

  • Pediatric Dentistry
  • Mentor, OH
National Provider Identifier
1952125734
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Nov 8, 2024

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.