Ohio Street Family Dental Group, LLC
NPI 1083108435ActiveOrganization· Dentist, General Practice· Elyria, OH
Dentist, General Practice in Elyria, Ohio, registered in NPPES in June 2018. The authorized official on file is Sheona Kimmel, Office Manager.
Overview
| NPI | 1083108435 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 19, 2018 |
| Last updated in NPPES | Jun 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 30.020075 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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