MECKLER DENTAL PROVIDERS (BEACHWOOD), INC. (NPI# 1427414762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427414762 |
| Entity Type | Organization |
| Organization Name | MECKLER DENTAL PROVIDERS (BEACHWOOD), INC. |
| Other Organization Name | DENTALWORKS OF BEACHWOOD |
| Practice Address |
27540 Chagrin Blvd Beachwood OH 44122-4424 |
| Mailing Address |
7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 |
| Practice Telephone | 2163782282 |
| Practice Fax Number | 2165841086 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2018-03-20 |
| Authorized Official Name | RACHEL NITTINGER (MANAGER CREDENTIALING) |
| Authorized Official Telephone | 9727550816 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTALONE PARTNERS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dentalworks of Beachwood | Doing Business As Name - Organization |
| Street Address |
27540 CHAGRIN BLVD |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-4424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992205181 | Jin Choi | Dentist | 25106 Maidstone Ln, Beachwood, OH 44122-1732 | 2018-02-14 |
| 1811367022 | Austin Port | Dentist | 15 Brigantine St, Beachwood, NJ 08722-2900 | 2015-09-30 |
| 1205158722 | Leonard Paul Weiss | Dentist | 3681 S. Green Road, Suite 400, Beachwood, OH 44122 | 2010-02-25 |
| 1942440201 | Jerome L. Faist Dds, Inc | Dentist | 3690 Orange Pl Ste 515, Beachwood, OH 44122-4466 | 2009-02-26 |
| 1588828768 | Howard Jay Berusch | Dentist | 3 Bennington Ct, Beachwood, OH 44122-7500 | 2008-07-16 |
| 1972710580 | Richard Phillip Adelstein | Dentist | 3401 Richmond Rd Ste 210, Beachwood, OH 44122-4160 | 2007-05-16 |
| 1174739015 | Assad Z Tanios | Dentist | 659 Atlantic City Blvd, Beachwood, NJ 08722-4007 | 2007-05-15 |
| 1104031624 | Leone M Pullella | Dentist | 3681 Green Rd, 400, Beachwood, OH 44122-5726 | 2007-05-10 |
| 1710008149 | Gary E Resnik | Dentist | 3690 Orange Pl # 540, Beachwood, OH 44122-4464 | 2007-04-03 |
| 1487799896 | Jay H Goldstein | Dentist | 3690 Orange Pl Ste 150, Beachwood, OH 44122-4476 | 2007-02-21 |
| Find all providers in BEACHWOOD | ||||
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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.