Cleveland Dental Institute LLC

Primary specialty

DentistTaxonomy code 122300000X

License

30022649 Issued in OH

Legal business name

CLEVELAND DENTAL INSTITUTE LLC

Practice address

4071 Lee Rd Ste 200
Cleveland, OH 44128-2100

Phone

(216) 727-0234

Fax

(216) 727-1164

NPI assigned

Dec 1, 2017

Organization subpart

Yes

Parent organization

CLEVELAND DENTAL INSTITUTEAs reported in NPPES

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

Authorized official

Name

Dr. Hussein F. Elrawy, DDS

Title

Owner

Phone

(216) 727-0234

Specialties & licenses 6

Addresses

Other identifiers 1

Tax ID family

Cleveland Dental Institute LLC2 organizations share this tax ID, including this one

Part of

Cleveland Dental Institute LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cleveland Dental Institute LLC

  • Dental Clinic/Center
  • Cleveland, OH
  • NPI 1003276106
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cleveland Dental Institute LLC

  • Dental Clinic/Center
  • Cleveland, OH
  • NPI 1003276106
  NPPES parent name

Practitioners 1

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

• Pedro Henrique Da Silva Aschar

  • General Practice Dentistry
  • Cleveland, OH
  • NPI 1275220832
  NPD (past)

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1982118709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 LEE RD STE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282100",
            "telephone_number": "216-727-0234",
            "fax_number": "216-727-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 LEE RD STE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282100",
            "telephone_number": "216-727-0234",
            "fax_number": "216-727-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND DENTAL INSTITUTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEVELAND DENTAL INSTITUTE",
        "enumeration_date": "2017-12-01",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ELRAWY",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-727-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30022649",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30023525",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30024296",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30024868",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230930922",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.