PDA ORTHO SPECIALTY (NPI# 1114455441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114455441 |
| Entity Type | Organization |
| Organization Name | PDA ORTHO SPECIALTY |
| Other Organization Name | LEWIS ORTHODONTICS, INC |
| Practice Address |
13022 Pearl Rd Ste 23 Strongsville OH 44136-3442 |
| Mailing Address |
11 S Mill St Ste 200 New Castle PA 16101-3680 |
| Practice Telephone | 4402380770 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |
| Authorized Official Name | DR. ANDREW MATTA (OWNER) |
| Authorized Official Telephone | 7246982500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Lewis Orthodontics, Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588950661 | Pda Ortho Specialty | Dentist | 11 S Mill St, Suite 200, New Castle, PA 16101-3613 | 2011-06-27 |
| Street Address |
13022 PEARL RD STE 23 |
| City | STRONGSVILLE |
| State | OH |
| Zip Code | 44136-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887688 | Elizabeth M Smutek | Homemaker | 16920 Deer Path Dr, Cleveland, OH 44136 | 2020-09-24 |
| 1528507332 | Ridge Park Urgent Care LLC | Clinic/Center | 16244 Pearl Road, Strongsville, OH 44136 | 2017-02-14 |
| 1871047126 | Ralph Rivera | Social Worker | 15251 Colebright Rd, Strongsville, OH 44136 | 2016-08-04 |
| 1598184392 | Kelly Nye Sutherland | Physical Therapist | 16761 South Park Center/ St30, Strongsville, OH 44136 | 2014-04-09 |
| 1427475383 | Shena Colburn | Physical Therapy Assistant | 19502 Pearl Road, Strongsville, OH 44136 | 2014-03-27 |
| 1851640445 | Dentkos Endodontics, LLC | Dentist | 16626 Pearl Rd, Strongsville, OH 44136 | 2012-08-29 |
| 1861777823 | Connie Agui | Registered Nurse | 19017 Turkey Meadow Lane, Strongsville, OH 44136 | 2011-10-20 |
| 1629376397 | America's Best Contacts & Eyeglasses | Technician/Technologist | 17260 Royalton Road, Strongsville, OH 44136 | 2011-03-04 |
| 1932432267 | Costco Wholesale Corporation | Pharmacy | 16690 Royalton Rd, Strongsville, OH 44136 | 2009-09-18 |
| 1003051715 | Francois Abi Fadel | Internal Medicine | Strongsville Family Health and Surgery Center, 16761 South Park Center, Strongsville, OH 44136 | 2008-12-09 |
| Find all providers in zip 44136 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275661944 | Steven Misencik | Dentist | 16363 Pearl Rd, Strongsville, OH 44136-6002 | 2007-03-02 |
| 1437228665 | Robert William Deshields | Dentist | 18910 Westwood Drive, Strongsville, OH 44136-3440 | 2006-11-06 |
| 1225136674 | Jeffrey S Weil | Dentist | 13022 Pearl Rd, Strongsville, OH 44136-3442 | 2006-09-20 |
| 1679596266 | George R. Kast | Dentist | 16580 Pearl Rd, Strongsville, OH 44136-6044 | 2006-07-25 |
| 1144692351 | Strongsville Orthodontics | Dentist | 13022 Pearl Rd, Strongsville, OH 44136-3442 | 2015-10-27 |
| 1205262698 | Mark Steven Misencik | Dentist | 16363 Pearl Rd, Strongsville, OH 44136-6002 | 2013-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079424 | Alvaro Malaga | Dentist | 2228 N High St Apt 29, Columbus, OH 43201-4401 | 2020-09-24 |
| 1093345290 | Gruelle Ison Orthodontics LLC | Dentist | 9825 Colerain Ave Ste 300, Cincinnati, OH 45251-1554 | 2020-01-16 |
| 1679103865 | Gid Orthodontics LLC | Dentist | 6876 Cincinnati Dayton Rd Ste 104, Liberty Township, OH 45044-8898 | 2020-01-16 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1497317465 | Jordan Aaron Roth | Dentist | 29001 Cedar Rd Ste 670, Lyndhurst, OH 44124-6501 | 2019-07-01 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1386207884 | Shannon Candid Co. Ohio, P.a. | Dentist | 107 S High St Fl 2, Columbus, OH 43215-9436 | 2019-04-19 |
| 1164985784 | Seema S. Dhingra Dds Msd | Dentist | 2237 Grube St, Springfield, OH 45503-2642 | 2019-04-10 |
| 1972060408 | Blue Jackets Braces | Dentist | 1175 Columbus Pike, Delaware, OH 43015-2713 | 2019-02-20 |
| 1609348283 | Shirck Orthodontics | Dentist | 68 N High St Bldg D, New Albany, OH 43054-8091 | 2018-12-20 |
| Find all providers with the same taxonomy | ||||
| City | STRONGSVILLE |
| Zip Code | 44136 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.