Walid Abdel Fatah

Primary specialty

DentistTaxonomy code 122300000X

License

30.023316 Issued in OH

Practice address

446 Howe Ave
Cuyahoga Falls, OH 44221-4957

Phone

(330) 734-6179

Fax

(330) 923-4987

NPI assigned

Aug 6, 2010

Last updated

Jun 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1972817591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 REGENT CT",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 HOWE AVE",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442214957",
            "telephone_number": "330-734-6179",
            "fax_number": "330-923-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL FATAH",
        "first_name": "WALID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 55 Transportation Inc (55 Transortation Inc)
• 59 Grafton LLC (The Cole Center)
• A E Villalba Inc
• Randy Wayne Abbott
• Jason Elie Abdallah, M.D.
• Jeffery M Abood, CRNA
• Walter Nicholas Abood, CNP
• Raymond W Acus III, M.D.
• Adam M. Pollock DDS, Inc.
• Daniel Benjamin Adams, PA-C

• Dentist in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.