Individual provider Active NPI

Sharon G Citron, D.M.D.

  • General Practice Dentistry
  • Lyndhurst, OH
National Provider Identifier
1962426197
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17055 Issued in OH
Practice address
5010 Mayfield Rd
Suite 101
Lyndhurst, OH 44124-2695
Phone
(216) 382-5007
Fax
(216) 382-5009
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17055 OH Primary

Addresses

Primary practice location

5010 Mayfield Rd
Suite 101
Lyndhurst, OH 44124-2695

Mailing address

5010 Mayfield Rd
Suite 101
Lyndhurst, OH 44124-2695
Phone (216) 382-5007

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
17055OHMDGeneral Practice Dentistry

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962426197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 MAYFIELD RD",
            "address_2": "SUITE 101",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242695",
            "telephone_number": "216-382-5007",
            "fax_number": "216-382-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 MAYFIELD RD",
            "address_2": "SUITE 101",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242695",
            "telephone_number": "216-382-5007",
            "fax_number": "216-382-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITRON",
        "first_name": "SHARON",
        "middle_name": "G",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, 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.

Verify at the official NPI Registry.