NPIMap

Organization Active NPI

Park Dental Westerville, LLC

  • General Practice Dentistry
  • Westerville, OH
National Provider Identifier
1003759911
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PARK DENTAL WESTERVILLE, LLC
Practice address
111 Commerce Park Dr Ste a
Westerville, OH 43082-6048
Phone
(614) 890-0510
Fax
(614) 890-1070
NPI assigned
Apr 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Siddhi Patel, DDSNPI 1467606855
Title
Owner
Phone
(614) 890-0510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

111 Commerce Park Dr Ste a
Westerville, OH 43082-6048

Mailing address

111 Commerce Park Dr Ste a
Westerville, OH 43082-6048
Phone (614) 890-0510

National Provider Directory

National Provider Directory

Locations

111 Commerce Park Dr
Ste A
Westerville, OH 43082
Phone (614) 890-0510

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1003759911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COMMERCE PARK DR STE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826048",
            "telephone_number": "614-890-0510",
            "fax_number": "614-890-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COMMERCE PARK DR STE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826048",
            "telephone_number": "614-890-0510",
            "fax_number": "614-890-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL WESTERVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SIDDHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-890-0510",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.