WESTERN RESERVE CENTER FOR OROFACIAL AND COSMETIC SURGERY
NPI 1427383272
Clinic/Center - Oral and Maxillofacial Surgery in Lakewood, OH

NPI Status: Active since October 13, 2009

Contact Information

14700 DETROIT AVE
LAKEWOOD, OH
ZIP 44107
Phone: (216) 227-3333
Fax: (216) 226-3700

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery
  • CLIA Number: 36D2004224
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-28-2026

About WESTERN RESERVE CENTER FOR OROFACIAL AND COSMETIC SURGERY

This page provides the complete NPI Profile along with additional information for Western Reserve Center For Orofacial And Cosmetic Surgery, a provider established in Lakewood, Ohio operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1427383272 assigned on October 2009. The practitioner's primary taxonomy code is 261QS0112X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Nicholas C Diamantis Md (Owner)

NPI
1427383272
Provider Name
WESTERN RESERVE CENTER FOR OROFACIAL AND COSMETIC SURGERY
Entity Type
Organization
Location Address
14700 DETROIT AVE LAKEWOOD, OH 44107
Location Phone
(216) 227-3333
Location Fax
(216) 226-3700
Mailing Address
14700 DETROIT AVE LAKEWOOD, OH 44107
Mailing Phone
(216) 227-3333
Mailing Fax
(216) 226-3700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2009
Last Update Date
10-13-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. NICHOLAS C DIAMANTIS MD

Authorized Official Title
OWNER
Authorized Official Phone
(216) 227-3333

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2004224
Facility Type
Physician Office
Certificate Effective Date
March 01, 2024
Certificate Expiration Date
February 28, 2026
Laboratory Director
NICHOLAS C. DIAMANTIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Western Reserve Center For Orofacial And Cosmetic Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WESTERN RESERVE CENTER FOR OROFACIAL AND COSMETIC SURGERY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427383272
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447686214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 6 + 8 + 6 + 2 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1427383272 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972606903DR. NICHOLAS C DIAMANTIS MD
Individual
Dentist (Oral and Maxillofacial Surgery)14700 DETROIT AVE
LAKEWOOD, OH 44107
(216) 227-3333

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427383272, enumerated in the NPI registry as an "organization" on October 13, 2009

The provider is located at 14700 Detroit Ave Lakewood, Oh 44107 and the phone number is (216) 227-3333

This medical organization specializes in Clinic/Center with taxonomy code 261QS0112X with a focus in Oral and Maxillofacial Surgery

The provider's CLIA number is 36D2004224 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 13, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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