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Bashar Abu Jaradeh

Dentist - General Practice β€’ Elyria, OH

Active NPI 1508700063 Individual Practitioner Male Practitioner
Practice location in NPPES

42707 N Ridge Rd
Elyria, OH 440351054

Call 4403243441 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

42707 N Ridge Rd

Elyria, OH 440351054

Telephone 4403243441
Organization at the Same NPPES Address or Phone
Leidenheimer Dental Group, Inc. Facility NPI 1750551479

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Elyria and Ohio

23 active clinicians are listed under Dentist - General Practice with a practice address in Elyria, OH (3,998 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Elyria

0% of these 23 clinicians have the CMS telehealth indicator.

0% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES OH 30028532

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
NPI 1528790045

Doctor of Dental Medicine

Dr. Santoshiratnam Kedarsetty , DMD

Dentist - General Practice

NPI 1427407840

Doctor of Dental Medicine

Dr. Matthew Rasanow , DDS

Dentist - General Practice

NPI 1255827606

Doctor of Dental Surgery

Dr. Brian Toth , DDS

Dentist - General Practice

NPI 1699907980

Doctor of Dental Surgery

Dr. Winnie Wong , DMD

Dentist - General Practice

NPI 1285080119

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2026

Dentist (license number reported to NPPES: OH 30028532)

βœ…
NPI Profile Active April 15, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 15, 2026

Registered at 42707 N RIDGE RD, ELYRIA, OH 440351054 (Tel: 4403243441)

πŸ“
Business Mailing Address (Initial Record) April 15, 2026

Registered at 42707 N RIDGE RD, ELYRIA, OH 440351054 (Tel: 4403243441)

πŸ‘€
Provider Name / Credentials (Initial Record) April 15, 2026

Recorded as BASHAR ABU JARADEH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2026

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 15, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508700063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2026
Last Update: June 09, 2026
Sole Proprietor: No

Other Dentist - General Practices in Elyria

All Dentist - General Practices in Elyria

Mailing Address

42707 N Ridge Rd

Elyria, OH 440351054

Phone: 4403243441

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.